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Billing code 0065U · Lab & pathology

0065U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $16.28 for 0065U across 11 states, from $4.52 in Kansas to $3,824.00 in New Jersey.

Data as of Oct 5, 202611 statesEvery rate links to its official source

States publishing
11
National median
$16.28units vary by state
Lowest
$4.52Kansas
Highest
$3,824.00New Jersey
Answer

What does Medicaid pay for 0065U?

11 state Medicaid programs publish a fee-for-service rate for 0065U. The national median is $16.28 (units differ between states). New Jersey pays the most, $3,824.00, and Kansas the least, $4.52, a 846.0x spread.

State ranking

0065U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Jersey Source · since 2026-07-01$3,824.00——Not classified—
2Montana Source · since 2021-07-01$18.09——Not classified—
3Arizona Source · since 2023-08-01$18.09——Plans negotiate; applies out of network—
5Hawaii Source · since 2026-06-01$18.09——Plans negotiate; applies out of network—
6Missouri Source · since 2026-07-01$16.28——Plans negotiate; applies out of network—
10Florida Source · since 2026-01-01$9.77——Plans negotiate; applies out of network—
11Kansas Source · since 2021-01-01$4.52——Not classified—
See all 11 states for 0065U — start free

4 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 0065U in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 0065U?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $16.28. New Jersey pays the most ($3,824.00) and Kansas the least ($4.52).

Which state pays the highest Medicaid rate for 0065U?

New Jersey, at $3,824.00, effective 2026-07-01.

Do managed-care plans pay the same rate for 0065U?

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 workspace shows the rule for each state, cited to the contract or statute.