Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for S4993. 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
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Publishing states
22
Median % of Medicare
--
Rate range
$0.44 - $254.70
S4993 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $12.00 | -- | -- | 2026 |
| Colorado | $40.22* | -- | -- | 2026 |
| Connecticut | $21.00 | -- | -- | 2026 |
| Iowa | $0.92 | -- | -- | 2013 |
| Idaho | $6.35 | -- | Not required | 2025 |
| Illinois | $0.44 | -- | -- | 2021 |
| Kansas | $21.49 | -- | -- | 2026 |
| Kentucky | $4.64 | -- | -- | 2026 |
| Louisiana | $12.69 | -- | -- | 2026 |
| Massachusetts | $11.33 | -- | -- | 2025 |
| Michigan | $18.00 | -- | -- | 2026 |
| Minnesota | $28.27 | -- | -- | 2024 |
| Montana | $52.07 | -- | -- | 2026 |
| North Carolina | $9.31 | -- | -- | 2025 |
| New Hampshire | $13.82 | -- | Not required | 2026 |
| New Mexico | $28.56 | -- | -- | 2025 |
| South Carolina | $1.15 | -- | -- | 2023 |
| Texas | $23.30* | -- | -- | 2018 |
| Virginia | $254.70 | -- | -- | 2013 |
| Washington | $5.00 | -- | -- | 2026 |
| Wisconsin | $32.00 | -- | -- | 2019 |
| Wyoming | $11.31 | -- | -- | 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 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 1 codes from S4993 to S4993 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for S4993?
22 state Medicaid programs publish a fee-for-service rate for S4993 (contraceptive pills for birth control), ranging from $0.44 in Illinois to $254.70 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for S4993?
Virginia publishes the highest Medicaid rate for S4993 at $254.70. Illinois publishes the lowest at $0.44.
Does S4993 require prior authorization under Medicaid?
No publishing state flags S4993 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.