M0224 Medicaid reimbursement rate by state (2026)
Intravenous infusion, pemivibart. Medicaid pays a median of $450.00 for M0224 across 19 states, from $303.75 in Missouri to $472.50 in Hawaii.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 19
- National median
- $450.00units vary by state
- Lowest
- $303.75Missouri
- Highest
- $472.50Hawaii
What does Medicaid pay for M0224?
19 state Medicaid programs publish a fee-for-service rate for M0224 at the physician psychologist level. The national median is $450.00 (units differ between states). Hawaii pays the most, $472.50, and Missouri the least, $303.75, a 1.6x spread.
M0224 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 19 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for M0224?
It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $450.00. Hawaii pays the most ($472.50) and Missouri the least ($303.75).
Which state pays the highest Medicaid rate for M0224?
Hawaii, at $472.50, effective 2025-02-28.
Do managed-care plans pay the same rate for M0224?
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.