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A9561 Medicaid reimbursement rate by state (2026)

Technetium tc-99m oxidronate, diagnostic, per study dose. Medicaid pays a median of $40.13 for A9561 across 17 states, from $7.01 in Kansas to $90.00 in Indiana.

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

States publishing
17
National median
$40.13units vary by state
Lowest
$7.01Kansas
Highest
$90.00Indiana

What does Medicaid pay for A9561?

17 state Medicaid programs publish a fee-for-service rate for A9561 at the physician psychologist level. The national median is $40.13 (units differ between states). Indiana pays the most, $90.00 per percent of billed charges, and Kansas the least, $7.01, a 12.8x spread.

A9561 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 17 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2017-11-10$90.00percent of billed charges—Plans must pay at least this—
2Washington Source · since 2023-07-01$50.16——Plans negotiate; applies out of network—
3Oregon Source · since 2026-01-01$50.16——Plans negotiate; applies out of network—
8North Carolina Source · since 2022-01-01$40.34——Plans negotiate; applies out of network—
9Wisconsin Source · since 2008-07-01$40.13——Plans negotiate; applies out of network—
10New Mexico Source · since 2025-01-01$36.04——Plans must pay at least this—
16Hawaii Source · since 2024-03-04$9.00——Plans negotiate; applies out of network—
17Kansas Source · since 2006-01-01$7.01——Not classified—
See all 17 states for A9561 — start free

9 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track A9561 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for A9561?

It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $40.13. Indiana pays the most ($90.00 per percent of billed charges) and Kansas the least ($7.01).

Which state pays the highest Medicaid rate for A9561?

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

Do managed-care plans pay the same rate for A9561?

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 workspace shows the rule for each state, cited to the contract or statute.