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0582U Medicaid reimbursement rates by state

Clinical lab tests. 8 state Medicaid programs publish a fee-for-service rate for 0582U at the independent level. Rates run from $602.85 in Maryland to $7,582.20 in Montana, with a median of $6,823.98.

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

States publishing
8
Median rate
$6,823.98units vary by state
Highest
$7,582.20Montana
Medicare (non-facility)
—not on the physician fee schedule

0582U 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)$7,582.20since 2026-01-01——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)$7,582.20since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$7,582.20since 2026-06-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$6,823.98since 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)$6,823.98since 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)$5,686.65since 2026-04-01——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)$4,094.39since 2026-01-01——Plans negotiate; applies out of network—Independent Laboratory Fee Schedule (202
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$602.85since 2026-02-01——Not classified—Maryland Medicaid Medical Laboratory Fee

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 0582U?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $6,823.98. Montana pays the most ($7,582.20) and Maryland the least ($602.85).

Which state pays the highest Medicaid rate for 0582U?

Montana, at $7,582.20, effective 2026-01-01.

Do managed-care plans pay the same rate for 0582U?

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 0582U in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state