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Billing code S9503 · Equipment & supplies

S9503 Medicaid reimbursement rate by state (2026)

Home infusion therapy, antibiotic, antiviral, or antifungal. Medicaid pays a median of $88.69 per day for S9503 across 14 states, from $27.00 in Virginia to $575.10 in South Dakota.

Data as of Oct 5, 202614 statesEvery rate links to its official source

States publishing
14
National median
$88.69per day
Lowest
$27.00Virginia
Highest
$575.10South Dakota
Answer

What does Medicaid pay for S9503?

14 state Medicaid programs publish a fee-for-service rate for S9503. The national median is $88.69 per day. South Dakota pays the most, $575.10 per day, and Virginia the least, $27.00 per day, a 21.3x spread.

State ranking

S9503 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 14 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1South Dakota Source · since 2026-07-01$575.10day—Not classified—
2Montana Source · since 2025-07-01$181.59day—Not classified—
3Oregon Source · since 2011-08-01$107.01day—Plans negotiate; applies out of network—
7Minnesota Source · since 2012-01-01$89.18day—Plans negotiate; applies out of network—
8Vermont Source · since 2023-03-01$88.20day—Not classified—
9Massachusetts Source · since 2026-03-01$61.87day—Plans negotiate; applies out of network—
13South Carolina Source · since 2024-07-01$30.27day—Not classified—
14Virginia Source · since 2004-01-01$27.00day—Plans negotiate; applies out of network—
See all 14 states for S9503 — start free

6 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 S9503 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 S9503?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $88.69 per day. South Dakota pays the most ($575.10 per day) and Virginia the least ($27.00 per day).

Which state pays the highest Medicaid rate for S9503?

South Dakota, at $575.10 per day, effective 2026-07-01.

Do managed-care plans pay the same rate for S9503?

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.