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A9505 Medicaid reimbursement rates by state

Thallium tl-201 thallous chloride, diagnostic. 16 state Medicaid programs publish a fee-for-service rate for A9505 at the physician psychologist level. Rates run from $21.35 in Colorado to $90.00 in Indiana, with a median of $34.54.

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

States publishing
16
Median rate
$34.54units vary by state
Highest
$90.00Indiana
Medicare (non-facility)
—not on the physician fee schedule

A9505 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)$90.00since 2017-11-10percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$85.39since 1998-07-15——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$84.56since 2026-01-01——Plans negotiate; applies out of network—Radiology Fee Schedule (2026-01-01)
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$78.75since 2005-09-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$71.91since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$66.66since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$37.23since 2023-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$34.88since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$34.20since 2026-01-01——Not classified—Maryland Medicaid Professional Services
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$32.81since 2004-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$32.66since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$32.66since 2024-07-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$31.91since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$26.58since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$23.32since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$21.35since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche

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 A9505?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $34.54. Indiana pays the most ($90.00 per percent of billed charges) and Colorado the least ($21.35).

Which state pays the highest Medicaid rate for A9505?

Indiana, at $90.00 per percent of billed charges, effective 2017-11-10.

Do managed-care plans pay the same rate for A9505?

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.

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