G0252 Medicaid reimbursement rates by state
Pet imaging, full and partial-ring pet scanners only. 7 state Medicaid programs publish a fee-for-service rate for G0252 at the agency level. Rates run from $18.47 in Texas to $737.25 in Louisiana, with a median of $64.40.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- Median rate
- $64.40units vary by state
- Highest
- $737.25Louisiana
- Medicare (non-facility)
- —not on the physician fee schedule
G0252 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $737.25⚠ over 3× mediansince 2013-02-01 | — | — | Plans must pay at least this | — | Louisiana Medicaid Professional Services |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $72.61since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $68.60since 2013-01-01 | — | — | Plans negotiate; applies out of network | — | HFS Practitioner Fee Schedule (effective |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $64.40since 2026-07-01 | — | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $55.14since 2004-01-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $54.80since 2026-02-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| TexasAgency provider · Texas Deaf-Blind with Multiple Disabilities (DBMD) waiver | $18.47since 2025-09-01 | hour | $18.47 | Paid by the state, outside plans | — | HHSC PFD DBMD payment rates (9-1-2025-db |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 G0252?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $64.40. Louisiana pays the most ($737.25) and Texas the least ($18.47 per hour).
Which state pays the highest Medicaid rate for G0252?
Louisiana, at $737.25, effective 2013-02-01.
Do managed-care plans pay the same rate for G0252?
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.