S0040 Medicaid reimbursement rate by state (2026)
Injection, ticarcillin disodium and clavulanate potassium. Medicaid pays a median of $15.56 for S0040 across 6 states, from $13.33 in Minnesota to $19.85 in New Mexico.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- National median
- $15.56units vary by state
- Lowest
- $13.33Minnesota
- Highest
- $19.85New Mexico
What does Medicaid pay for S0040?
6 state Medicaid programs publish a fee-for-service rate for S0040. The national median is $15.56 (units differ between states). New Mexico pays the most, $19.85, and Minnesota the least, $13.33, a 1.5x spread.
S0040 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S0040?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $15.56. New Mexico pays the most ($19.85) and Minnesota the least ($13.33).
Which state pays the highest Medicaid rate for S0040?
New Mexico, at $19.85, effective 2025-01-01.
Do managed-care plans pay the same rate for S0040?
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.