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Billing code S0106 · Pharmacy

S0106 Medicaid reimbursement rate by state (2026)

Bupropion hcl sustained release tablet, 150 mg. Medicaid pays a median of $20.45 for S0106 across 5 states, from $4.89 in Utah to $95.12 in Nevada.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$20.45units vary by state
Lowest
$4.89Utah
Highest
$95.12Nevada
Answer

What does Medicaid pay for S0106?

5 state Medicaid programs publish a fee-for-service rate for S0106. The national median is $20.45 (units differ between states). Nevada pays the most, $95.12, and Utah the least, $4.89, a 19.5x spread.

State ranking

S0106 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nevada Source · since 2024-04-01$95.12——Plans must pay at least this—
2New Hampshire Source · since 2021-01-01$90.15——Plans negotiate; applies out of network—
3Connecticut Source · since 2026-07-04$20.45——Not classified—
See all 5 states for S0106 — start free

2 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track S0106 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for S0106?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $20.45. Nevada pays the most ($95.12) and Utah the least ($4.89).

Which state pays the highest Medicaid rate for S0106?

Nevada, at $95.12, effective 2024-04-01.

Do managed-care plans pay the same rate for S0106?

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.