Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for P9604. 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
10
Median % of Medicare
--
Rate range
$2.07 - $10.10
P9604 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Connecticut | $2.49 | -- | -- | 2015 |
| Hawaii | $2.76 | -- | -- | 2025 |
| Iowa | $8.09 | -- | -- | 2024 |
| Illinois | $2.82 | -- | -- | 2026 |
| Indiana | $2.11 | -- | -- | 2024 |
| Massachusetts | $4.78 | -- | -- | 2024 |
| North Dakota | $5.41 | -- | Not required | 2026 |
| New Hampshire | $6.14 | -- | Not required | 2026 |
| New Jersey | $10.10 | -- | Not required | 2026 |
| Virginia | $2.07 | -- | -- | 1988 |
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 P9604?
10 state Medicaid programs publish a fee-for-service rate for P9604 (travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge), ranging from $2.07 in Virginia to $10.10 in New Jersey. The full table on this page lists every publishing state's current rate.
Which state pays the most for P9604?
New Jersey publishes the highest Medicaid rate for P9604 at $10.10. Virginia publishes the lowest at $2.07.
Does P9604 require prior authorization under Medicaid?
No publishing state flags P9604 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.