0472U Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $26.51 for 0472U across 6 states, from $15.07 in Florida to $27.90 in Montana.
- States publishing
- 6
- National median
- $26.51units vary by state
- Lowest
- $15.07Florida
- Highest
- $27.90Montana
What does Medicaid pay for 0472U?
6 state Medicaid programs publish a fee-for-service rate for 0472U. The national median is $26.51 (units differ between states). Montana pays the most, $27.90, and Florida the least, $15.07, a 1.9x spread.
0472U rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 0472U?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $26.51. Montana pays the most ($27.90) and Florida the least ($15.07).
Which state pays the highest Medicaid rate for 0472U?
Montana, at $27.90, effective 2026-01-01.
Do managed-care plans pay the same rate for 0472U?
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.