P9612 Medicaid Rate by State

Catheterization for collection of specimen, single patient, all places of service

22 state Medicaid programs publish a fee-for-service rate for P9612 (catheterization for collection of specimen, single patient, all places of service), ranging from $2.10 in Connecticut to $10.28 in New Mexico, with a median of 81.8% of the national Medicare amount.

Every state, kept current

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This page shows one representative rate per state for P9612. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

22

Median % of Medicare

81.8%

Rate range

$2.10 - $10.28

P9612 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$3.0032.1%--2026
Arizona$9.34100%--2026
Connecticut$2.1022.5%--2015
Hawaii$3.0032.1%--2025
Idaho$8.0786.4%Not required2026
Indiana$9.0997.3%--2026
Louisiana$3.00----2026
Massachusetts$7.5680.9%--2024
Minnesota$9.34100%--2026
Missouri$8.41--Not required2026
Montana$9.34100%--2026
New Hampshire$7.6481.8%Not required2026
New Mexico$10.28110.1%--2023
Ohio$7.0175.1%--2026
Oklahoma$8.3189%--2026
Oregon$7.47*80%--2026
Rhode Island$4.08----2026
Virginia$3.0032.1%--2005
Vermont$8.8694.9%--2026
Washington$7.4780%--2026
West Virginia$8.4190%--2026
Wyoming$2.5427.2%--2021

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 P9612?

22 state Medicaid programs publish a fee-for-service rate for P9612 (catheterization for collection of specimen, single patient, all places of service), ranging from $2.10 in Connecticut to $10.28 in New Mexico, with a median of 81.8% of the national Medicare amount. The full table on this page lists every publishing state's current rate.

Which state pays the most for P9612?

New Mexico publishes the highest Medicaid rate for P9612 at $10.28 (110.1% of the national Medicare amount). Connecticut publishes the lowest at $2.10.

Does P9612 require prior authorization under Medicaid?

No publishing state flags P9612 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.