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A9559 Medicaid reimbursement rates by state

Cobalt co-57 cyanocobalamin, oral, diagnostic. 9 state Medicaid programs publish a fee-for-service rate for A9559 at the physician psychologist level. Rates run from $0.00 in Arkansas to $334.06 in Wisconsin, with a median of $88.97.

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

States publishing
9
Median rate
$88.97units vary by state
Highest
$334.06Wisconsin
Medicare (non-facility)
—not on the physician fee schedule

A9559 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
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$334.06⚠ over 3× mediansince 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$129.94since 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)$93.91since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$89.36since 2020-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$88.97since 2022-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$88.59since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$71.18since 2024-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$4.79since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
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 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 A9559?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $88.97. Wisconsin pays the most ($334.06) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for A9559?

Wisconsin, at $334.06, effective 2008-07-01.

Do managed-care plans pay the same rate for A9559?

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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