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S0081 Medicaid reimbursement rates by state

Injection, piperacillin sodium, 500 mg. 6 state Medicaid programs publish a fee-for-service rate for S0081 at the physician psychologist level. Rates run from $0.00 in Arkansas to $5.85 in Colorado, with a median of $3.21.

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

States publishing
6
Median rate
$3.21units vary by state
Highest
$5.85Colorado
Medicare (non-facility)
—not on the physician fee schedule

S0081 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
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$5.85since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$4.48since 2022-01-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$4.25since 2021-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$2.16since 2010-02-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$1.45since 2021-01-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam

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 S0081?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $3.21. Colorado pays the most ($5.85) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for S0081?

Colorado, at $5.85, effective 2026-07-01.

Do managed-care plans pay the same rate for S0081?

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 Physician & professional codes

Track S0081 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state