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0090U Medicaid reimbursement rates by state

Clinical lab tests. 11 state Medicaid programs publish a fee-for-service rate for 0090U at the physician psychologist level. Rates run from $0.00 in Arkansas to $1,950.00 in Montana, with a median of $1,755.00.

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

States publishing
11
Median rate
$1,755.00units vary by state
Highest
$1,950.00Montana
Medicare (non-facility)
—not on the physician fee schedule

0090U 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)$1,950.00since 2024-01-01——Not classified—Montana Healthcare Programs fee schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,950.00since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,950.00since 2024-01-01——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)$1,950.00since 2024-11-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$1,950.00since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$1,755.00since 2026-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Independent L
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1,755.00since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,462.50since 2025-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$1,053.00since 2026-01-01——Plans negotiate; applies out of network—Independent Laboratory Fee Schedule (202
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$438.75since 2021-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam

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 0090U?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $1,755.00. Montana pays the most ($1,950.00) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 0090U?

Montana, at $1,950.00, effective 2024-01-01.

Do managed-care plans pay the same rate for 0090U?

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 0090U in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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