Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for S9123. 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
16
Median % of Medicare
--
Rate range
$13.00 - $145.16
S9123 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $56.00 | -- | -- | 2026 |
| Arizona | $77.05 | -- | -- | 2026 |
| California | $47.91 | -- | -- | 2026 |
| District of Columbia | $28.00 | -- | Not required | 2003 |
| Delaware | $63.67 | -- | -- | 2026 |
| Iowa | $109.08 | -- | -- | 2016 |
| Louisiana | $61.65 | -- | -- | 2026 |
| Minnesota | $61.73 | -- | -- | 2004 |
| Mississippi | $28.00 | -- | Required | 2026 |
| Montana | $21.86* | -- | Required | 2025 |
| North Carolina | $13.00 | -- | -- | 2025 |
| New Hampshire | $75.84 | -- | Varies | 2026 |
| Nevada | $84.81 | -- | -- | 2024 |
| Pennsylvania | $50.00 | -- | -- | 2008 |
| Utah | $145.16* | -- | Required | 2026 |
| Virginia | $89.88 | -- | -- | 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 16 codes from S9123 to S9504 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for S9123?
16 state Medicaid programs publish a fee-for-service rate for S9123 (nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)), ranging from $13.00 in North Carolina to $145.16 in Utah. The full table on this page lists every publishing state's current rate.
Which state pays the most for S9123?
Utah publishes the highest Medicaid rate for S9123 at $145.16. North Carolina publishes the lowest at $13.00.
Does S9123 require prior authorization under Medicaid?
3 of the 16 publishing states flag S9123 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".