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A9526 Medicaid reimbursement rates by state

Nitrogen n-13 ammonia, diagnostic, per study dose. 18 state Medicaid programs publish a fee-for-service rate for A9526 at the physician psychologist level. Rates run from $0.00 in Arkansas to $826.39 in Washington, with a median of $412.49.

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

States publishing
18
Median rate
$412.49units vary by state
Highest
$826.39Washington
Medicare (non-facility)
—not on the physician fee schedule

A9526 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
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$826.39since 2026-01-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$826.39since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$826.39since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$797.47since 2026-07-01——Not classified—South Dakota Medicaid Drugs and Biologic
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$782.89since 2025-11-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Physician Admi
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$774.19since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$714.00since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$659.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$652.41since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$172.57since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$162.63since 2010-10-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$151.58since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$128.70since 2018-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$109.86since 2026-01-01——Not classified—Maryland Medicaid Professional Services
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
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$20.80since 2024-03-04——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$1.00since 2004-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam

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 A9526?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $412.49. Washington pays the most ($826.39) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for A9526?

Washington, at $826.39, effective 2026-01-01.

Do managed-care plans pay the same rate for A9526?

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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