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0224U Medicaid reimbursement rates by state

Clinical lab tests. 14 state Medicaid programs publish a fee-for-service rate for 0224U at the physician psychologist level. Rates run from $27.77 in Florida to $51.43 in Arizona, with a median of $44.57.

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

States publishing
14
Median rate
$44.57units vary by state
Highest
$51.43Arizona
Medicare (non-facility)
—not on the physician fee schedule

0224U 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$51.43since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$51.43since 2023-01-01——Plans negotiate; applies out of network—Nebraska Medicaid ad hoc fee schedule: C
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$51.43since 2026-06-01——Not classified—Maryland Medicaid Medical Laboratory Fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$51.43since 2023-01-01——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)$51.43since 2023-01-01——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)$46.29since 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)$46.29since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$42.85since 2026-07-01——Not classified—Clinical Diagnostic Laboratory Test (CDL
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$42.13since 2021-10-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$41.14since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$38.57since 2025-04-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$37.07since 2020-06-25——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical1.csv
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$33.70since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$27.77since 2026-01-01——Plans negotiate; applies out of network—Independent Laboratory Fee Schedule (202

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 0224U?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $44.57. Arizona pays the most ($51.43) and Florida the least ($27.77).

Which state pays the highest Medicaid rate for 0224U?

Arizona, at $51.43, effective 2026-10-01.

Do managed-care plans pay the same rate for 0224U?

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 0224U in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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