Lab & Imaging codes P9010 to P9615 with Medicaid rates by state

40 lab & imaging codes from P9010 to P9615 carry a published Medicaid rate in ten or more states. The median shown is across those states' unmodified published rates; open a code for the full state-by-state table with percent of Medicare and prior-authorization flags.

CodeDescriptionStatesMedian rate
P9010Blood (whole), for transfusion, per unit17$96.65
P9011Blood, split unit11$97.20
P9012Cryoprecipitate, each unit13$38.69
P9016Red blood cells, leukocytes reduced, each unit19$125.89
P9017Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit16$52.21
P9019Platelets, each unit17$46.40
P9020Platelet rich plasma, each unit11$146.58
P9021Red blood cells, each unit16$93.35
P9022Red blood cells, washed, each unit14$188.75
P9023Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit12$41.59
P9031Platelets, leukocytes reduced, each unit14$107.23
P9032Platelets, irradiated, each unit13$112.23
P9033Platelets, leukocytes reduced, irradiated, each unit12$139.94
P9034Platelets, pheresis, each unit14$272.61
P9035Platelets, pheresis, leukocytes reduced, each unit17$466.08
P9036Platelets, pheresis, irradiated, each unit13$428.13
P9037Platelets, pheresis, leukocytes reduced, irradiated, each unit14$483.98
P9038Red blood cells, irradiated, each unit13$115.35
P9039Red blood cells, deglycerolized, each unit13$238.66
P9040Red blood cells, leukocytes reduced, irradiated, each unit15$206.56
P9041Infusion, albumin (human), 5%, 50 ml25$10.62
P9043Infusion, plasma protein fraction (human), 5%, 50 ml17$10.08
P9044Plasma, cryoprecipitate reduced, each unit13$58.60
P9045Infusion, albumin (human), 5%, 250 ml25$53.07
P9046Infusion, albumin (human), 25%, 20 ml26$21.23
P9047Infusion, albumin (human), 25%, 50 ml26$53.08
P9048Infusion, plasma protein fraction (human), 5%, 250 ml17$51.81
P9051Whole blood or red blood cells, leukocytes reduced, cmv-negative, each unit14$135.32
P9052Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each unit13$555.04
P9053Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit14$444.21
P9054Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit13$173.28
P9055Platelets, leukocytes reduced, cmv-negative, apheresis/pheresis, each unit14$348.03
P9056Whole blood, leukocytes reduced, irradiated, each unit14$111.77
P9057Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit14$264.62
P9058Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit15$222.66
P9059Fresh frozen plasma between 8-24 hours of collection, each unit13$63.13
P9060Fresh frozen plasma, donor retested, each unit14$47.18
P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge10$3.80
P9612Catheterization for collection of specimen, single patient, all places of service22$7.60
P9615Catheterization for collection of specimen(s) (multiple patients)17$7.47

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. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.