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P9073 Medicaid reimbursement rates by state

Platelets, pheresis, pathogen-reduced, each unit. 5 state Medicaid programs publish a fee-for-service rate for P9073. Rates run from $175.36 in Colorado to $812.87 in Indiana, with a median of $546.69.

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

States publishing
5
Median rate
$546.69units vary by state
Highest
$812.87Indiana
Medicare (non-facility)
—not on the physician fee schedule

P9073 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)$812.87since 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
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$546.69since 2026-04-01——Plans negotiate; applies out of network—BMS P Code Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$517.92since 2018-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$175.36since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche

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 P9073?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $546.69. Indiana pays the most ($812.87 per unit) and Colorado the least ($175.36).

Which state pays the highest Medicaid rate for P9073?

Indiana, at $812.87 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for P9073?

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 P9073 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state