P9021 Medicaid Rate by State

Red blood cells, each unit

16 state Medicaid programs publish a fee-for-service rate for P9021 (red blood cells, each unit), ranging from $12.42 in Montana to $189.72 in Indiana.

Every state, kept current

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This page shows one representative rate per state for P9021. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

16

Median % of Medicare

--

Rate range

$12.42 - $189.72

P9021 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$52.25----2026
California$129.66----2026
Hawaii$94.00----2025
Idaho$69.22--Not required2025
Indiana$189.72----2026
Kansas$51.00----1987
Michigan$78.75----2026
Minnesota$101.31----2001
Missouri$132.85--Not required2026
Mississippi$111.92----2026
Montana$12.42----2026
New Mexico$141.73----2026
Oklahoma$93.35----2026
Pennsylvania$30.00----2006
Texas$82.73*----2026
Washington$66.64----2026

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

All 40 codes from P9010 to P9615 or every lab & imaging code by number.

Frequently asked questions

How much does Medicaid pay for P9021?

16 state Medicaid programs publish a fee-for-service rate for P9021 (red blood cells, each unit), ranging from $12.42 in Montana to $189.72 in Indiana. The full table on this page lists every publishing state's current rate.

Which state pays the most for P9021?

Indiana publishes the highest Medicaid rate for P9021 at $189.72. Montana publishes the lowest at $12.42.

Does P9021 require prior authorization under Medicaid?

No publishing state flags P9021 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.