S9500 Medicaid Rate by State

Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

12 state Medicaid programs publish a fee-for-service rate for S9500 (home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem), ranging from $9.53 in Illinois to $149.77 in Montana.

Every state, kept current

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This page shows one representative rate per state for S9500. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

12

Median % of Medicare

--

Rate range

$9.53 - $149.77

S9500 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$45.00----2026
Idaho$79.56--Required2026
Illinois$9.53----2026
Kentucky$50.00----2026
Michigan$22.04----2026
Minnesota$96.58----2012
Montana$149.77--Required2025
North Dakota$81.42--Not required2026
South Carolina$31.18----2024
Virginia$37.60----2010
Vermont$73.50----2026
Wyoming$82.88----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

All 16 codes from S9123 to S9504 or every state-specific services code by number.

Frequently asked questions

How much does Medicaid pay for S9500?

12 state Medicaid programs publish a fee-for-service rate for S9500 (home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem), ranging from $9.53 in Illinois to $149.77 in Montana. The full table on this page lists every publishing state's current rate.

Which state pays the most for S9500?

Montana publishes the highest Medicaid rate for S9500 at $149.77. Illinois publishes the lowest at $9.53.

Does S9500 require prior authorization under Medicaid?

2 of the 12 publishing states flag S9500 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".