Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for S9497. 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
10
Median % of Medicare
--
Rate range
$22.04 - $179.48
S9497 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Idaho | $85.44 | -- | Required | 2026 |
| Kentucky | $60.00 | -- | -- | 2026 |
| Massachusetts | $51.51 | -- | -- | 2026 |
| Michigan | $22.04 | -- | -- | 2026 |
| Minnesota | $93.27 | -- | -- | 2012 |
| Montana | $179.48 | -- | Required | 2025 |
| North Dakota | $108.57 | -- | Not required | 2026 |
| South Carolina | $36.56 | -- | -- | 2003 |
| Virginia | $37.60 | -- | -- | 2010 |
| Vermont | $93.10 | -- | -- | 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 S9497?
10 state Medicaid programs publish a fee-for-service rate for S9497 (home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem), ranging from $22.04 in Michigan to $179.48 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for S9497?
Montana publishes the highest Medicaid rate for S9497 at $179.48. Michigan publishes the lowest at $22.04.
Does S9497 require prior authorization under Medicaid?
2 of the 10 publishing states flag S9497 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".