P9038 Medicaid Rate by State

Red blood cells, irradiated, each unit

13 state Medicaid programs publish a fee-for-service rate for P9038 (red blood cells, irradiated, each unit), ranging from $8.00 in New Jersey to $267.84 in Indiana.

Every state, kept current

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This page shows one representative rate per state for P9038. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

13

Median % of Medicare

--

Rate range

$8.00 - $267.84

P9038 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$122.75----2021
California$195.18----2026
Indiana$267.84----2026
Kansas$25.50----2001
Michigan$75.95----2026
Minnesota$127.86----2001
Missouri$128.13--Not required2026
Mississippi$107.95----2026
Montana$15.29----2026
New Jersey$8.00--Not required2026
New Mexico$225.80----2026
Oklahoma$97.88----2026
Texas$93.30*----2015

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 P9038?

13 state Medicaid programs publish a fee-for-service rate for P9038 (red blood cells, irradiated, each unit), ranging from $8.00 in New Jersey to $267.84 in Indiana. The full table on this page lists every publishing state's current rate.

Which state pays the most for P9038?

Indiana publishes the highest Medicaid rate for P9038 at $267.84. New Jersey publishes the lowest at $8.00.

Does P9038 require prior authorization under Medicaid?

No publishing state flags P9038 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.