G9485 Medicaid reimbursement rate by state (2026)
Remote in-home visit for the evaluation and management of a.... Medicaid pays a median of $105.70 for G9485 across 5 states, from $0.87 in Kansas to $165.69 in Montana.
- States publishing
- 5
- National median
- $105.70units vary by state
- Lowest
- $0.87Kansas
- Highest
- $165.69Montana
What does Medicaid pay for G9485?
5 state Medicaid programs publish a fee-for-service rate for G9485. The national median is $105.70 (units differ between states). Montana pays the most, $165.69, and Kansas the least, $0.87, a 190.4x spread.
Medicare (non-facility, 2026 physician fee schedule): $111.94–$117.88 depending on the state's Medicare locality.
G9485 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for G9485?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $105.70. Montana pays the most ($165.69) and Kansas the least ($0.87).
Which state pays the highest Medicaid rate for G9485?
Montana, at $165.69, effective 2026-07-01.
Do managed-care plans pay the same rate for G9485?
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.