M0247 Medicaid reimbursement rate by state (2026)
Intravenous infusion, sotrovimab. Medicaid pays a median of $450.00 for M0247 across 11 states, from $75.29 in Texas to $455.67 in New Mexico.
- States publishing
- 11
- National median
- $450.00units vary by state
- Lowest
- $75.29Texas
- Highest
- $455.67New Mexico
What does Medicaid pay for M0247?
11 state Medicaid programs publish a fee-for-service rate for M0247. The national median is $450.00 (units differ between states). New Mexico pays the most, $455.67, and Texas the least, $75.29 per hour, a 6.1x spread.
M0247 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for M0247?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $450.00. New Mexico pays the most ($455.67) and Texas the least ($75.29 per hour).
Which state pays the highest Medicaid rate for M0247?
New Mexico, at $455.67, effective 2025-01-01.
Do managed-care plans pay the same rate for M0247?
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.