M0221 Medicaid reimbursement rate by state (2026)
Injection, tixagevimab and cilgavimab. Medicaid pays a median of $250.50 for M0221 across 9 states, from $200.00 in Georgia to $255.51 in Colorado.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 9
- National median
- $250.50units vary by state
- Lowest
- $200.00Georgia
- Highest
- $255.51Colorado
What does Medicaid pay for M0221?
9 state Medicaid programs publish a fee-for-service rate for M0221 at the physician psychologist level. The national median is $250.50 (units differ between states). Colorado pays the most, $255.51, and Georgia the least, $200.00, a 1.3x spread.
M0221 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for M0221?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $250.50. Colorado pays the most ($255.51) and Georgia the least ($200.00).
Which state pays the highest Medicaid rate for M0221?
Colorado, at $255.51, effective 2022-07-01.
Do managed-care plans pay the same rate for M0221?
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.