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C9462 Medicaid reimbursement rates by state

Injection, delafloxacin, 1 mg. 11 state Medicaid programs publish a fee-for-service rate for C9462 at the physician psychologist level. Rates run from $0.40 in Idaho to $0.53 in Nebraska, with a median of $0.50.

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

States publishing
11
Median rate
$0.50units vary by state
Highest
$0.53Nebraska
Medicare (non-facility)
—not on the physician fee schedule

C9462 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)$0.53since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$0.52since 2026-07-01——Plans negotiate; applies out of network—Medi-Cal Physician-Administered Drug Rat
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$0.52since 2025-10-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$0.52since 2026-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$0.51since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$0.50since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.50since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$0.50since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$0.49since 2026-02-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$0.47since 2018-04-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$0.40since 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 C9462?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $0.50. Nebraska pays the most ($0.53) and Idaho the least ($0.40).

Which state pays the highest Medicaid rate for C9462?

Nebraska, at $0.53, effective 2026-07-01.

Do managed-care plans pay the same rate for C9462?

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 C9462 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state