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Billing code S0157 · Physician & professional

S0157 Medicaid reimbursement rate by state (2026)

Becaplermin gel 0.01%, 0.5 gm. Medicaid pays a median of $44.60 for S0157 across 5 states, from $25.69 in New Hampshire to $50.76 in Utah.

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

States publishing
5
National median
$44.60units vary by state
Lowest
$25.69New Hampshire
Highest
$50.76Utah
Answer

What does Medicaid pay for S0157?

5 state Medicaid programs publish a fee-for-service rate for S0157. The national median is $44.60 (units differ between states). Utah pays the most, $50.76, and New Hampshire the least, $25.69, a 2.0x spread.

State ranking

S0157 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
1Utah Source · since 2023-10-01$50.76——Plans negotiate; applies out of network—
2South Carolina Source · since 2024-01-01$44.60——Plans negotiate; applies out of network—
3Nevada Source · since 2024-04-01$44.60——Plans must pay at least this—
See all 5 states for S0157 — 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 S0157 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 S0157?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $44.60. Utah pays the most ($50.76) and New Hampshire the least ($25.69).

Which state pays the highest Medicaid rate for S0157?

Utah, at $50.76, effective 2023-10-01.

Do managed-care plans pay the same rate for S0157?

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.