90649 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $142.91 for 90649 across 26 states, from $4.00 in Hawaii to $253.60 in Virginia.
- States publishing
- 26
- National median
- $142.91units vary by state
- Lowest
- $4.00Hawaii
- Highest
- $253.60Virginia
What does Medicaid pay for 90649?
26 state Medicaid programs publish a fee-for-service rate for 90649. The national median is $142.91 (units differ between states). Virginia pays the most, $253.60, and Hawaii the least, $4.00, a 63.4x spread.
90649 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 26 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 90649?
It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $142.91. Virginia pays the most ($253.60) and Hawaii the least ($4.00).
Which state pays the highest Medicaid rate for 90649?
Virginia, at $253.60, effective 2022-07-01.
Do managed-care plans pay the same rate for 90649?
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.