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P9046 Medicaid reimbursement rates by state

Infusion, albumin (human), 25%, 20 ml. 29 state Medicaid programs publish a fee-for-service rate for P9046 at the physician psychologist level. Rates run from $10.00 in New Jersey to $38.00 in Alaska, with a median of $21.33.

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

States publishing
29
Median rate
$21.33units vary by state
Highest
$38.00Alaska
Medicare (non-facility)
—not on the physician fee schedule

P9046 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
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$38.00since 2026-07-01——Not classified—Alaska Medicaid Physician Fee Schedule S
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$29.86since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$28.02since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$25.59since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$21.33since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$21.33since 2026-07-01——Plans negotiate; applies out of network—PADL Fee Schedule -Published Copy - July
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$21.33since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$21.33since 2026-07-01——Plans negotiate; applies out of network—HCA Kidney centers fee schedule (kidneyc
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$21.33since 2026-07-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$21.33since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$21.33since 2026-07-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$21.33since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$21.33since 2026-07-0120 ML—Plans negotiate; applies out of network—BMS Physician Administered Drug ASP Pric
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$21.33since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$21.33since 2026-07-01——Not classified—South Dakota Medicaid Drugs and Biologic
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$21.23since 2024-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$21.23since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$21.23since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$21.23since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$21.23since 2024-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$21.23since 2026-01-01——Not classified—Maryland Medicaid Professional Services
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$20.98since 2022-10-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$20.17since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$19.97since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$19.68since 2011-04-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$19.65since 2026-04-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$18.45since 2010-09-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$18.35since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$10.00since 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 P9046?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $21.33. Alaska pays the most ($38.00) and New Jersey the least ($10.00).

Which state pays the highest Medicaid rate for P9046?

Alaska, at $38.00, effective 2026-07-01.

Do managed-care plans pay the same rate for P9046?

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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Medicaid rates by state
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