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A9584 Medicaid reimbursement rates by state

Iodine 1-123 ioflupane, diagnostic, per study dose. 14 state Medicaid programs publish a fee-for-service rate for A9584 at the independent level. Rates run from $0.00 in California to $3,103.08 in Oregon, with a median of $2,612.93.

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

States publishing
14
Median rate
$2,612.93units vary by state
Highest
$3,103.08Oregon
Medicare (non-facility)
—not on the physician fee schedule

A9584 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
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$3,103.08since 2026-05-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$2,954.88since 2026-01-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$2,954.88since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$2,939.76since 2026-08-01——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)$2,907.10since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$2,851.46since 2026-07-01——Not classified—South Dakota Medicaid Drugs and Biologic
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$2,672.84since 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$2,553.01since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,980.00since 2012-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$1,929.28since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1,387.74since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$1,387.74since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$476.47since 2012-01-01——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 A9584?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $2,612.93. Oregon pays the most ($3,103.08) and California the least ($0.00).

Which state pays the highest Medicaid rate for A9584?

Oregon, at $3,103.08, effective 2026-05-01.

Do managed-care plans pay the same rate for A9584?

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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