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G9489 Medicaid reimbursement rates by state

Remote in-home visit for the evaluation and management of an.... 6 state Medicaid programs publish a fee-for-service rate for G9489 at the physician psychologist level. Rates run from $0.57 in Kansas to $108.92 in Montana, with a median of $59.77.

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

States publishing
6
Median rate
$59.77units vary by state
Highest
$108.92Montana
Medicare (non-facility)
$74.01–$82.412026 physician fee schedule

G9489 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
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$108.92since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$72.06since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$69.04since 2017-01-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$50.49since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$32.70since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$0.57since 2016-04-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 G9489?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $59.77. Montana pays the most ($108.92) and Kansas the least ($0.57).

Which state pays the highest Medicaid rate for G9489?

Montana, at $108.92, effective 2026-07-01.

Do managed-care plans pay the same rate for G9489?

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 Physician & professional codes

Track G9489 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state