Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for P9016. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
19
Median % of Medicare
--
Rate range
$17.02 - $709.20
P9016 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $709.20 | -- | -- | 2026 |
| Arizona | $74.01 | -- | -- | 2026 |
| California | $185.15 | -- | -- | 2026 |
| Idaho | $25.52 | -- | Not required | 2025 |
| Indiana | $239.88 | -- | -- | 2026 |
| Kansas | $87.00 | -- | -- | 2004 |
| Maine | $115.24 | -- | -- | 2026 |
| Michigan | $96.71 | -- | -- | 2026 |
| Minnesota | $140.35 | -- | -- | 2001 |
| Missouri | $163.16 | -- | Not required | 2026 |
| Mississippi | $137.45 | -- | -- | 2026 |
| Montana | $17.02 | -- | -- | 2026 |
| New Hampshire | $109.49 | -- | Not required | 2026 |
| New Mexico | $186.73 | -- | -- | 2026 |
| Oklahoma | $136.54 | -- | -- | 2026 |
| Texas | $114.10* | -- | -- | 2026 |
| Virginia | $45.00 | -- | -- | 1994 |
| Washington | $45.53 | -- | -- | 2026 |
| Wisconsin | $449.49 | -- | -- | 2013 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related lab & imaging codes
- 70030 - X-ray of the eye for a foreign body
- 70100 - Jaw (mandible) X-ray, up to 3 views
- 70110 - Jaw (mandible) X-ray, 4 or more views
- 70120 - X-ray of the mastoids, under 3 views per side
- 70130 - X-ray of the mastoids, complete
- 70134 - X-ray of the inner ear canals, complete
- 70140 - Facial bone X-ray, under 3 views
- 70150 - Facial bone X-ray, complete, 3 or more views
All 40 codes from P9010 to P9615 or every lab & imaging code by number.
Frequently asked questions
How much does Medicaid pay for P9016?
19 state Medicaid programs publish a fee-for-service rate for P9016 (red blood cells, leukocytes reduced, each unit), ranging from $17.02 in Montana to $709.20 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for P9016?
Alaska publishes the highest Medicaid rate for P9016 at $709.20. Montana publishes the lowest at $17.02.
Does P9016 require prior authorization under Medicaid?
No publishing state flags P9016 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.