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0447U Medicaid reimbursement rates by state

Clinical lab tests. 5 state Medicaid programs publish a fee-for-service rate for 0447U. Rates run from $453.95 in Florida to $840.65 in Kentucky, with a median of $756.59.

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

States publishing
5
Median rate
$756.59units vary by state
Highest
$840.65Kentucky
Medicare (non-facility)
—not on the physician fee schedule

0447U 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
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$840.65since 2025-01-01——Plans negotiate; applies out of network—KY Medicaid Clinical Lab fee schedule (2
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$756.59since 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)$756.59since 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)$668.32since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$453.95since 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 0447U?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $756.59. Kentucky pays the most ($840.65) and Florida the least ($453.95).

Which state pays the highest Medicaid rate for 0447U?

Kentucky, at $840.65, effective 2025-01-01.

Do managed-care plans pay the same rate for 0447U?

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.

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