S0190 Medicaid reimbursement rate by state (2026)
Mifepristone, oral, 200 mg. Medicaid pays a median of $68.33 for S0190 across 21 states, from $35.26 in Nevada to $128.30 in New Jersey.
- States publishing
- 21
- National median
- $68.33units vary by state
- Lowest
- $35.26Nevada
- Highest
- $128.30New Jersey
What does Medicaid pay for S0190?
21 state Medicaid programs publish a fee-for-service rate for S0190. The national median is $68.33 (units differ between states). New Jersey pays the most, $128.30, and Nevada the least, $35.26, a 3.6x spread.
S0190 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 21 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S0190?
It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $68.33. New Jersey pays the most ($128.30) and Nevada the least ($35.26).
Which state pays the highest Medicaid rate for S0190?
New Jersey, at $128.30, effective 2025-01-01.
Do managed-care plans pay the same rate for S0190?
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.