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90389 Medicaid reimbursement rates by state

Vaccines and immune globulins. 9 state Medicaid programs publish a fee-for-service rate for 90389 at the physician psychologist level. Rates run from $10.00 in Pennsylvania to $688.44 in Indiana, with a median of $137.76.

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

States publishing
9
Median rate
$137.76units vary by state
Highest
$688.44Indiana
Medicare (non-facility)
—not on the physician fee schedule

90389 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
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$688.44since 2026-04-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$638.33⚠ over 3× mediansince 2024-03-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$548.62⚠ over 3× mediansince 2025-10-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$367.31since 2013-09-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$137.76since 2026-02-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$133.57since 2022-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Clinical Pharm
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$125.35since 2026-07-01——Not classified—Immunization Rates (07/26)
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$114.00since 2026-01-01——Not classified—Maryland Medicaid Professional Services
PennsylvaniaRegistered nurse (RN) · Pennsylvania Medical Assistance (fee-for-service)$10.00since 1999-06-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 90389?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $137.76. Indiana pays the most ($688.44 per unit) and Pennsylvania the least ($10.00).

Which state pays the highest Medicaid rate for 90389?

Indiana, at $688.44 per unit, effective 2026-04-01.

Do managed-care plans pay the same rate for 90389?

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 Pharmacy codes

Track 90389 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state