P9100 Medicaid reimbursement rates by state
Pathogen(s) test for platelets. 5 state Medicaid programs publish a fee-for-service rate for P9100. Rates run from $33.18 in Indiana to $60.23 in South Dakota, with a median of $54.24.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $54.24units vary by state
- Highest
- $60.23South Dakota
- Medicare (non-facility)
- —not on the physician fee schedule
P9100 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $60.23since 2026-07-01 | — | — | Not classified | — | South Dakota Medicaid Laboratory fee sch |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $58.98since 2018-01-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Medical- |
| West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services) | $54.24since 2026-04-01 | — | — | Plans negotiate; applies out of network | — | BMS P Code Fee Schedule |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $34.72since 2026-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $33.18since 2026-01-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
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 P9100?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $54.24. South Dakota pays the most ($60.23) and Indiana the least ($33.18 per unit).
Which state pays the highest Medicaid rate for P9100?
South Dakota, at $60.23, effective 2026-07-01.
Do managed-care plans pay the same rate for P9100?
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.