Q9965 Medicaid Rate by State

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

25 state Medicaid programs publish a fee-for-service rate for Q9965 (low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml), ranging from $0.68 in Iowa to $2.45 in New Jersey.

Every state, kept current

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This page shows one representative rate per state for Q9965. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

25

Median % of Medicare

--

Rate range

$0.68 - $2.45

Q9965 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alaska$0.81----2026
Alabama$0.96----2026
Arizona$0.75----2026
California$1.49----2026
Connecticut$1.37----2024
District of Columbia$1.04--Not required2026
Georgia$0.89----2026
Hawaii$1.81----2025
Iowa$0.68----2024
Idaho$0.89--Not required2026
Indiana$0.89----2025
Michigan$0.75----2026
Minnesota$0.75----2026
Mississippi$1.16----2026
Montana$1.04----2026
North Dakota$0.75--Not required2026
Nebraska$0.75----2026
New Jersey$2.45--Not required2026
New Mexico$1.20----2025
Oklahoma$1.08----2026
South Carolina$0.78----2026
Virginia$0.75----2026
Washington$0.75----2026
Wisconsin$0.75----2026
Wyoming$0.78----2022

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 state-specific services codes

All 22 codes from Q9950 to Q9999 or every state-specific services code by number.

Frequently asked questions

How much does Medicaid pay for Q9965?

25 state Medicaid programs publish a fee-for-service rate for Q9965 (low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml), ranging from $0.68 in Iowa to $2.45 in New Jersey. The full table on this page lists every publishing state's current rate.

Which state pays the most for Q9965?

New Jersey publishes the highest Medicaid rate for Q9965 at $2.45. Iowa publishes the lowest at $0.68.

Does Q9965 require prior authorization under Medicaid?

No publishing state flags Q9965 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.