S0179 Medicaid reimbursement rate by state (2026)
Megestrol acetate, oral, 20 mg. Medicaid pays a median of $0.675 for S0179 across 6 states, from $0.04 in Utah to $4.17 in New Mexico.
- States publishing
- 6
- National median
- $0.675units vary by state
- Lowest
- $0.04Utah
- Highest
- $4.17New Mexico
What does Medicaid pay for S0179?
6 state Medicaid programs publish a fee-for-service rate for S0179. The national median is $0.675 (units differ between states). New Mexico pays the most, $4.17, and Utah the least, $0.04, a 104.3x spread.
S0179 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 S0179?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $0.675. New Mexico pays the most ($4.17) and Utah the least ($0.04).
Which state pays the highest Medicaid rate for S0179?
New Mexico, at $4.17, effective 2025-01-01.
Do managed-care plans pay the same rate for S0179?
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.