Q0247 Medicaid reimbursement rate by state (2026)
Injection, sotrovimab, 500 mg. Medicaid pays a median of $2,394.00 for Q0247 across 8 states, from $2,268.00 in North Carolina to $2,424.18 in New Mexico.
- States publishing
- 8
- National median
- $2,394.00units vary by state
- Lowest
- $2,268.00North Carolina
- Highest
- $2,424.18New Mexico
What does Medicaid pay for Q0247?
8 state Medicaid programs publish a fee-for-service rate for Q0247. The national median is $2,394.00 (units differ between states). New Mexico pays the most, $2,424.18, and North Carolina the least, $2,268.00, a 1.1x spread.
Q0247 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for Q0247?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $2,394.00. New Mexico pays the most ($2,424.18) and North Carolina the least ($2,268.00).
Which state pays the highest Medicaid rate for Q0247?
New Mexico, at $2,424.18, effective 2025-01-01.
Do managed-care plans pay the same rate for Q0247?
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 workspace shows the rule for each state, cited to the contract or statute.