43254 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $205.15 for 43254 across 49 states, from $40.48 in Missouri to $422.36 in Nebraska.
- States publishing
- 49
- National median
- $205.15units vary by state
- Lowest
- $40.48Missouri
- Highest
- $422.36Nebraska
What does Medicaid pay for 43254?
49 state Medicaid programs publish a fee-for-service rate for 43254. The national median is $205.15 (units differ between states). Nebraska pays the most, $422.36, and Missouri the least, $40.48, a 10.4x spread.
43254 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 43254?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $205.15. Nebraska pays the most ($422.36) and Missouri the least ($40.48).
Which state pays the highest Medicaid rate for 43254?
Nebraska, at $422.36, effective 2026-07-01.
Do managed-care plans pay the same rate for 43254?
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.