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0340U Medicaid reimbursement rates by state

Clinical lab tests. 17 state Medicaid programs publish a fee-for-service rate for 0340U at the physician psychologist level. Rates run from $980.00 in Kansas to $3,920.00 in Indiana, with a median of $3,231.00.

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

States publishing
17
Median rate
$3,231.00units vary by state
Highest
$3,920.00Indiana
Medicare (non-facility)
—not on the physician fee schedule

0340U 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
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$3,920.00since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$3,920.00since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$3,590.00since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$3,590.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$3,590.00since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$3,590.00since 2026-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$3,589.99since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$3,486.79since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$3,231.00since 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)$3,231.00since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$3,116.40since 2026-01-01——Not classified—Maryland Medicaid Medical Laboratory Fee
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$2,940.00since 2025-10-01——Plans negotiate; applies out of network—ODM laboratory services payment schedule
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$2,872.00since 2026-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$2,744.00since 2025-05-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$2,669.91since 2025-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$2,116.80since 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$980.00since 2022-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 0340U?

It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $3,231.00. Indiana pays the most ($3,920.00 per unit) and Kansas the least ($980.00).

Which state pays the highest Medicaid rate for 0340U?

Indiana, at $3,920.00 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for 0340U?

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

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