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90484 Medicaid reimbursement rates by state

Vaccines and immune globulins. 10 state Medicaid programs publish a fee-for-service rate for 90484 at the physician psychologist level. Rates run from $19.30 in Washington to $78.83 in Colorado, with a median of $32.64.

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

States publishing
10
Median rate
$32.64units vary by state
Highest
$78.83Colorado
Medicare (non-facility)
—not on the physician fee schedule

90484 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
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$78.83since 2026-07-01——Not classified—Immunization Rates (07/26)
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$56.10since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$50.75since 2026-01-01——Plans must pay at least this—MO HealthNet fee schedule: Nurse Midwife
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$34.70since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$33.07since 2026-02-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$32.21since 2026-07-01——Plans negotiate; applies out of network—Prescribed Drugs Immunization Fee Schedu
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$26.41since 2026-01-01——Plans negotiate; applies out of network—MDHHS Child and Adolescent Health Center
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$26.05since 2026-01-01——Plans negotiate; applies out of network—ODM CPT/HCPCS procedure code changes for
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$24.27since 2026-01-01——Plans negotiate; applies out of network—Administrative Bulletin 26-09: 101 CMR 3
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$19.30since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched

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 90484?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $32.64. Colorado pays the most ($78.83) and Washington the least ($19.30).

Which state pays the highest Medicaid rate for 90484?

Colorado, at $78.83, effective 2026-07-01.

Do managed-care plans pay the same rate for 90484?

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 90484 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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