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A9596 Medicaid reimbursement rate by state (2026)

Gallium ga-68 gozetotide, diagnostic, (illuccix). Medicaid pays a median of $1,018.02 for A9596 across 23 states, from $94.00 in Kansas to $1,594.66 in Indiana.

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

States publishing
23
National median
$1,018.02units vary by state
Lowest
$94.00Kansas
Highest
$1,594.66Indiana

What does Medicaid pay for A9596?

23 state Medicaid programs publish a fee-for-service rate for A9596 at the physician psychologist level. The national median is $1,018.02 (units differ between states). Indiana pays the most, $1,594.66 per unit, and Kansas the least, $94.00, a 17.0x spread.

A9596 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 23 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2026-04-01$1,594.66unit—Plans must pay at least this—
2Oklahoma Source · since 2026-07-01$1,518.72——Plans must pay at least this—
3Washington Source · since 2026-01-01$1,236.67——Plans negotiate; applies out of network—
11Minnesota Source · since 2025-01-01$1,033.20——Plans negotiate; applies out of network—
12Arizona Source · since 2024-01-01$1,018.02——Plans negotiate; applies out of network—
13Maryland Source · since 2026-01-01$1,015.00——Not classified—
22New Hampshire Source · since 2022-07-01$188.00——Not classified—
23Kansas Source · since 2022-07-01$94.00——Not classified—
See all 23 states for A9596 — start free

15 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 A9596 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 A9596?

It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $1,018.02. Indiana pays the most ($1,594.66 per unit) and Kansas the least ($94.00).

Which state pays the highest Medicaid rate for A9596?

Indiana, at $1,594.66 per unit, effective 2026-04-01.

Do managed-care plans pay the same rate for A9596?

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.