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90630 Medicaid reimbursement rates by state

Vaccines and immune globulins. 6 state Medicaid programs publish a fee-for-service rate for 90630. Rates run from $19.76 in Colorado to $121.86 in Arizona, with a median of $20.34.

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

States publishing
6
Median rate
$20.34units vary by state
Highest
$121.86Arizona
Medicare (non-facility)
—not on the physician fee schedule

90630 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$121.86⚠ over 3× mediansince 2024-01-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$28.60since 2023-01-01——Plans negotiate; applies out of network—KY Medicaid Preventive fee schedule (202
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$20.34since 2024-07-01——Plans negotiate; applies out of network—Medi Cal Physician Administered Drug Rat
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$20.34since 2017-07-01——Plans negotiate; applies out of network—Schedule of Maximum Allowable-PADL-Appen
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$20.34since 2023-01-01——Plans negotiate; applies out of network—MDHHS Child and Adolescent Health Center
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$19.76since 2026-07-01——Not classified—Immunization Rates (07/26)

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 90630?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $20.34. Arizona pays the most ($121.86) and Colorado the least ($19.76).

Which state pays the highest Medicaid rate for 90630?

Arizona, at $121.86, effective 2024-01-01.

Do managed-care plans pay the same rate for 90630?

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 90630 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state