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C9460 Medicaid reimbursement rates by state

Injection, cangrelor, 1 mg. 10 state Medicaid programs publish a fee-for-service rate for C9460 at the physician psychologist level. Rates run from $13.01 in Idaho to $22.44 in Nebraska, with a median of $20.84.

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

States publishing
10
Median rate
$20.84units vary by state
Highest
$22.44Nebraska
Medicare (non-facility)
—not on the physician fee schedule

C9460 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$22.44since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$22.06since 2026-04-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$21.43since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$21.01since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule)$21.01since 2026-04-01——Plans must pay at least this—KMAP Fee Schedule TXIX Medicaid (FeeSche
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$20.67since 2026-06-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$17.79since 2022-09-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$17.08since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$15.28since 2020-08-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$13.01since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju

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 C9460?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $20.84. Nebraska pays the most ($22.44) and Idaho the least ($13.01).

Which state pays the highest Medicaid rate for C9460?

Nebraska, at $22.44, effective 2026-07-01.

Do managed-care plans pay the same rate for C9460?

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.

Related Pharmacy codes

Track C9460 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state