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P9037 Medicaid reimbursement rates by state

Platelets, pheresis, leukocytes reduced, irradiated. 9 state Medicaid programs publish a fee-for-service rate for P9037 at the physician psychologist level. Rates run from $8.00 in New Jersey to $1,020.40 in New Hampshire, with a median of $483.98.

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

States publishing
9
Median rate
$483.98units vary by state
Highest
$1,020.40New Hampshire
Medicare (non-facility)
—not on the physician fee schedule

P9037 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
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$1,020.40since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$835.24since 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)$624.66since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$483.98since 2022-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$483.98since 2024-01-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$480.75since 2001-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$55.71since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$25.50since 2001-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$8.00since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 P9037?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $483.98. New Hampshire pays the most ($1,020.40) and New Jersey the least ($8.00).

Which state pays the highest Medicaid rate for P9037?

New Hampshire, at $1,020.40, effective 2023-07-01.

Do managed-care plans pay the same rate for P9037?

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 Lab & pathology codes

Track P9037 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state