S9503 Medicaid Rate by State

Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

11 state Medicaid programs publish a fee-for-service rate for S9503 (home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 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 $181.59 in Montana.

Every state, kept current

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This page shows one representative rate per state for S9503. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

11

Median % of Medicare

--

Rate range

$22.04 - $181.59

S9503 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$45.00----2026
Idaho$102.73--Required2026
Kentucky$60.00----2026
Massachusetts$61.87----2026
Michigan$22.04----2026
Minnesota$89.18----2012
Montana$181.59--Required2025
North Dakota$89.68--Not required2026
South Carolina$31.18----2024
Virginia$37.60----2010
Vermont$88.20----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

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

Frequently asked questions

How much does Medicaid pay for S9503?

11 state Medicaid programs publish a fee-for-service rate for S9503 (home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 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 $181.59 in Montana. The full table on this page lists every publishing state's current rate.

Which state pays the most for S9503?

Montana publishes the highest Medicaid rate for S9503 at $181.59. Michigan publishes the lowest at $22.04.

Does S9503 require prior authorization under Medicaid?

2 of the 11 publishing states flag S9503 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".