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A9560 Medicaid reimbursement rates by state

Technetium tc-99m labeled red blood cells, diagnostic. 10 state Medicaid programs publish a fee-for-service rate for A9560. Rates run from $18.01 in Louisiana to $114.00 in Maryland, with a median of $90.45.

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

States publishing
10
Median rate
$90.45units vary by state
Highest
$114.00Maryland
Medicare (non-facility)
—not on the physician fee schedule

A9560 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
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$114.00since 2026-01-01——Not classified—Maryland Medicaid Professional Services
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$106.48since 2023-07-01——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)$106.48since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$101.16since 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$90.90since 2022-01-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Physician Admi
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
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$85.18since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$68.00since 2026-08-25——Not classified—Physician Drug Fee Schedule (REF-0130-Q)
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$51.80since 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)$18.01since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services

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 A9560?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $90.45. Maryland pays the most ($114.00) and Louisiana the least ($18.01).

Which state pays the highest Medicaid rate for A9560?

Maryland, at $114.00, effective 2026-01-01.

Do managed-care plans pay the same rate for A9560?

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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