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A9583 Medicaid reimbursement rates by state

Injection, gadofosveset trisodium, 1 ml. 11 state Medicaid programs publish a fee-for-service rate for A9583 at the independent level. Rates run from $0.00 in California to $21.48 in Montana, with a median of $17.93.

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

States publishing
11
Median rate
$17.93units vary by state
Highest
$21.48Montana
Medicare (non-facility)
—not on the physician fee schedule

A9583 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
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$21.48since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$19.67since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$18.56since 2026-08-25——Not classified—Physician Drug Fee Schedule (REF-0130-Q)
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$18.56since 2017-04-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$18.11since 2017-01-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$17.93since 2026-01-01——Not classified—Maryland Medicaid Professional Services
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$17.63since 2024-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$12.16since 2021-01-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$11.04since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$4.64since 2017-04-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$0.00since 2023-01-01——Plans negotiate; applies out of network—Medi Cal Physician Administered Drug Rat

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 A9583?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $17.93. Montana pays the most ($21.48) and California the least ($0.00).

Which state pays the highest Medicaid rate for A9583?

Montana, at $21.48, effective 2025-07-01.

Do managed-care plans pay the same rate for A9583?

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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