S0169 Medicaid reimbursement rate by state (2026)
Calcitrol, oral, 0.25 microgram. Medicaid pays a median of $0.865 for S0169 across 6 states, from $0.06 in Illinois to $2.49 in Oklahoma.
- States publishing
- 6
- National median
- $0.865units vary by state
- Lowest
- $0.06Illinois
- Highest
- $2.49Oklahoma
What does Medicaid pay for S0169?
6 state Medicaid programs publish a fee-for-service rate for S0169. The national median is $0.865 (units differ between states). Oklahoma pays the most, $2.49, and Illinois the least, $0.06, a 41.5x spread.
S0169 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 S0169?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $0.865. Oklahoma pays the most ($2.49) and Illinois the least ($0.06).
Which state pays the highest Medicaid rate for S0169?
Oklahoma, at $2.49, effective 2025-07-01.
Do managed-care plans pay the same rate for S0169?
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.