Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for S0199. 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
17
Median % of Medicare
--
Rate range
$169.33 - $812.80
S0199 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $201.04 | -- | -- | 2020 |
| California | $536.48 | -- | -- | 2026 |
| Colorado | $812.80 | -- | -- | 2026 |
| Connecticut | $469.55 | -- | -- | 2008 |
| District of Columbia | $325.00 | -- | Required | 2019 |
| Delaware | $360.53 | -- | -- | 2026 |
| Hawaii | $424.51 | -- | -- | 2025 |
| Idaho | $169.33 | -- | Required | 2025 |
| Illinois | $542.93 | -- | -- | 2022 |
| Kansas | $240.48 | -- | -- | 2001 |
| Massachusetts | $501.57 | -- | -- | 2025 |
| New Mexico | $577.10 | -- | -- | 2025 |
| Nevada | $270.00 | -- | -- | 2020 |
| Pennsylvania | $690.00 | -- | -- | 2024 |
| South Carolina | $279.39 | -- | -- | 2017 |
| Vermont | $526.71 | -- | -- | 2026 |
| Washington | $314.85 | -- | -- | 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 state-specific services codes
- C1716 - Brachytherapy source, non-stranded, gold-198, per source
- C1717 - Brachytherapy source, non-stranded, high dose rate iridium-192, per source
- C1719 - Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
- C2616 - Brachytherapy source, non-stranded, yttrium-90, per source
- C2634 - Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
- C2635 - Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
- C2636 - Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
- C2638 - Brachytherapy source, stranded, iodine-125, per source
All 4 codes from S0190 to S0215 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for S0199?
17 state Medicaid programs publish a fee-for-service rate for S0199 (medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs), ranging from $169.33 in Idaho to $812.80 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for S0199?
Colorado publishes the highest Medicaid rate for S0199 at $812.80. Idaho publishes the lowest at $169.33.
Does S0199 require prior authorization under Medicaid?
2 of the 17 publishing states flag S0199 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".