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0862T Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $587.87 for 0862T across 7 states, from $23.06 in Iowa to $1,919.13 in Rhode Island.

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

States publishing
7
National median
$587.87units vary by state
Lowest
$23.06Iowa
Highest
$1,919.13Rhode Island

What does Medicaid pay for 0862T?

7 state Medicaid programs publish a fee-for-service rate for 0862T. The national median is $587.87 (units differ between states). Rhode Island pays the most, $1,919.13, and Iowa the least, $23.06, a 83.2x spread.

0862T rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Rhode Island Source · since 2026-07-01$1,919.13——Plans negotiate; applies out of network—
2Delaware Source · since 2026-01-01$1,127.98——Plans negotiate; applies out of network—
3Arkansas Source · since 2026-01-01$1,072.14——Not classified—
7Iowa Source · since 2026-01-01$23.06——Plans must pay at least this—
See all 7 states for 0862T — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track 0862T in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
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Frequently asked questions

What does Medicaid pay for 0862T?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $587.87. Rhode Island pays the most ($1,919.13) and Iowa the least ($23.06).

Which state pays the highest Medicaid rate for 0862T?

Rhode Island, at $1,919.13, effective 2026-07-01.

Do managed-care plans pay the same rate for 0862T?

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.

Related codes

Codes next to 0862T

0689TPhysician and practitioner services (fee schedule) · 9 states0792TPhysician and practitioner services (fee schedule) · 5 states0795TPhysician and practitioner services (fee schedule) · 5 states0861TPhysician and practitioner services (fee schedule) · 7 states0863TPhysician and practitioner services (fee schedule) · 7 states0950TPhysician and practitioner services (fee schedule) · 6 states0958TPhysician and practitioner services (fee schedule) · 6 states0959TPhysician and practitioner services (fee schedule) · 6 states

Most-published Physician & professional codes

10005Physician and practitioner services (fee schedule) · 50 states10006Physician and practitioner services (fee schedule) · 50 states10007Physician and practitioner services (fee schedule) · 50 states10008Physician and practitioner services (fee schedule) · 50 states10009Physician and practitioner services (fee schedule) · 50 states10010Physician and practitioner services (fee schedule) · 50 states10021Physician and practitioner services (fee schedule) · 50 states10030Physician and practitioner services (fee schedule) · 50 states

Highest-paying states

Rhode Island Medicaid fee scheduleDelaware Medicaid fee scheduleArkansas Medicaid fee schedule