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Billing code 676 · Hospital outpatient

676 Medicaid reimbursement rate by state (2026)

APG relative weight. Medicaid pays a median of $0.2503 for 676 across 5 states, from $0.2058 in Illinois to $0.7964 in New York.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$0.2503units vary by state
Lowest
$0.2058Illinois
Highest
$0.7964New York
Answer

What does Medicaid pay for 676?

5 state Medicaid programs publish a fee-for-service rate for 676. The national median is $0.2503 (units differ between states). New York pays the most, $0.7964 per relative weight, and Illinois the least, $0.2058, a 3.9x spread.

State ranking

676 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New York Source · since 2026-01-01$0.7964relative weight—Plans negotiate; applies out of network—
2Wisconsin Source · since 2026-01-01$0.4729——Plans negotiate; applies out of network—
3Virginia Source · since 2022-07-01$0.2503EAPG WEIGHT—Plans negotiate; applies out of network—
See all 5 states for 676 — start free

2 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 676 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 676?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $0.2503. New York pays the most ($0.7964 per relative weight) and Illinois the least ($0.2058).

Which state pays the highest Medicaid rate for 676?

New York, at $0.7964 per relative weight, effective 2026-01-01.

Do managed-care plans pay the same rate for 676?

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.