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S9374 Medicaid reimbursement rates by state

Home infusion therapy, hydration therapy; one liter per day. 10 state Medicaid programs publish a fee-for-service rate for S9374. Rates run from $8.00 in Virginia to $72.79 in Minnesota, with a median of $29.72.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
10
Median rate
$29.72per day
Highest
$72.79Minnesota
Medicare (non-facility)
—not on the physician fee schedule

S9374 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$72.79since 2012-01-01day—Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$72.10since 2025-07-01day—Not classified—Montana Healthcare Programs fee schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$42.89since 2009-01-01day—Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$40.00since 2022-01-01day—State sets the plan rate—KY Medicaid DME fee schedule (2022Medica
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$30.04since 2026-03-01day—Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$29.40since 2023-03-01day—Not classified—Vermont Medicaid Fee Schedule - DME Code
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$22.04since 2023-01-01day—Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$20.40since 2026-07-01day—Not classified—Alaska Medicaid Home Infusion Therapy Fe
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$13.91since 2024-07-01day—Not classified—SCDHHS Durable Medical Equipment (DME) F
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$8.00since 2004-01-01day—Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv

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

Frequently asked questions

What does Medicaid pay for S9374?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $29.72 per day. Minnesota pays the most ($72.79 per day) and Virginia the least ($8.00 per day).

Which state pays the highest Medicaid rate for S9374?

Minnesota, at $72.79 per day, effective 2012-01-01.

Do managed-care plans pay the same rate for S9374?

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 table shows the rule for each state, cited to the contract or statute.

Related Other codes

Track S9374 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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