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90700 Medicaid reimbursement rates by state

Vaccines and immune globulins. 23 state Medicaid programs publish a fee-for-service rate for 90700 at the physician psychologist level. Rates run from $2.67 in Washington to $51.66 in Arizona, with a median of $24.20.

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

States publishing
23
Median rate
$24.20units vary by state
Highest
$51.66Arizona
Medicare (non-facility)
—not on the physician fee schedule

90700 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)$51.66since 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$33.33since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$32.31since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$31.52since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Immu
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$31.52since 2026-08-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$29.82since 2026-06-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$29.29since 2026-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Local Health D
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$28.70since 2026-06-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$28.00since 2024-03-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$27.41since 2026-01-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$26.23since 2023-01-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$24.20since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Nurse Midwife
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$24.05since 2018-09-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$23.56since 2009-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$23.47since 2024-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2024
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$23.28since 2026-01-01——Plans must pay at least this—Maryland Medicaid Professional Services
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$21.96since 2013-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$19.79since 2016-10-01——Not classified—Physician Alabama Primary Care Enhanced
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$16.71since 2022-07-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas ARKids First-B (CHIP)$13.14since 2025-06-04——Not classified—Arkansas Medicaid ARKids First-B Screeni
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$10.92since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule IMMUNIZAT
PennsylvaniaRegistered nurse (RN) · Pennsylvania Medical Assistance (fee-for-service)$10.00since 1994-04-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$2.67since 2025-01-01——Plans must pay at least this—HCA Enhanced pediatric fee schedule (enh

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 90700?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $24.20. Arizona pays the most ($51.66) and Washington the least ($2.67).

Which state pays the highest Medicaid rate for 90700?

Arizona, at $51.66, effective 2023-04-01.

Do managed-care plans pay the same rate for 90700?

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

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