0645T Medicaid reimbursement rate by state (2026)
Surgery center facility fee (per procedure). Medicaid pays a median of $2,340.08 for 0645T across 6 states, from $204.88 in South Dakota to $8,586.93 in Delaware.
- States publishing
- 6
- National median
- $2,340.08units vary by state
- Lowest
- $204.88South Dakota
- Highest
- $8,586.93Delaware
What does Medicaid pay for 0645T?
6 state Medicaid programs publish a fee-for-service rate for 0645T. The national median is $2,340.08 (units differ between states). Delaware pays the most, $8,586.93, and South Dakota the least, $204.88, a 41.9x spread.
0645T 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 0645T?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $2,340.08. Delaware pays the most ($8,586.93) and South Dakota the least ($204.88).
Which state pays the highest Medicaid rate for 0645T?
Delaware, at $8,586.93, effective 2026-01-01.
Do managed-care plans pay the same rate for 0645T?
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.