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P9019 Medicaid reimbursement rates by state

Platelets, each unit. 8 state Medicaid programs publish a fee-for-service rate for P9019 at the physician psychologist level. Rates run from $25.50 in Kansas to $153.59 in Indiana, with a median of $52.28.

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

States publishing
8
Median rate
$52.28units vary by state
Highest
$153.59Indiana
Medicare (non-facility)
—not on the physician fee schedule

P9019 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
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$153.59since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$69.50since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$64.42since 2004-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$56.00since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$48.55since 2001-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$39.69since 2024-01-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$34.80since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Clinical
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$25.50since 1987-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN 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 P9019?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $52.28. Indiana pays the most ($153.59 per unit) and Kansas the least ($25.50).

Which state pays the highest Medicaid rate for P9019?

Indiana, at $153.59 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for P9019?

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.

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