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0008U Medicaid reimbursement rates by state

Clinical lab tests. 7 state Medicaid programs publish a fee-for-service rate for 0008U at the independent level. Rates run from $98.38 in Florida to $597.91 in Montana, with a median of $538.12.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
7
Median rate
$538.12units vary by state
Highest
$597.91Montana
Medicare (non-facility)
—not on the physician fee schedule

0008U rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$597.91since 2021-07-01——Not classified—Montana Healthcare Programs fee schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$597.91since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$597.91since 2024-11-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$538.12since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$298.96since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$149.48since 2018-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$98.38since 2026-01-01——Plans negotiate; applies out of network—Practitioner Laboratory Fee Schedule (20

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 0008U?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $538.12. Montana pays the most ($597.91) and Florida the least ($98.38).

Which state pays the highest Medicaid rate for 0008U?

Montana, at $597.91, effective 2021-07-01.

Do managed-care plans pay the same rate for 0008U?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related Lab & pathology codes

Track 0008U in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state