S0020 Medicaid reimbursement rates by state
Injection, bupivicaine hydrochloride, 30 ml. 5 state Medicaid programs publish a fee-for-service rate for S0020. Rates run from $1.28 in Georgia to $12.39 in Rhode Island, with a median of $5.17.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $5.17units vary by state
- Highest
- $12.39Rhode Island
- Medicare (non-facility)
- —not on the physician fee schedule
S0020 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 |
|---|---|---|---|---|---|---|
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $12.39since 2003-01-01 | — | — | Plans negotiate; applies out of network | — | RI Medicaid Interactive Fee For Service |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid (KMAP fee-for-service schedule) | $5.91since 2024-04-01 | — | — | Plans must pay at least this | — | KMAP Fee Schedule TXIX Medicaid (FeeSche |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $5.17since 2023-04-01 | — | — | Plans negotiate; applies out of network | — | Medi Cal Physician Administered Drug Rat |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $1.97since 2023-01-01 | — | — | Not classified | — | MaineCare Section 90 - Drug Rates/Fee Sc |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $1.28since 2023-07-01 | — | — | Plans negotiate; applies out of network | — | Copy of PADL- Appendix A - Published Cop |
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 S0020?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $5.17. Rhode Island pays the most ($12.39) and Georgia the least ($1.28).
Which state pays the highest Medicaid rate for S0020?
Rhode Island, at $12.39, effective 2003-01-01.
Do managed-care plans pay the same rate for S0020?
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.