U0004 Medicaid reimbursement rates by state
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19). 10 state Medicaid programs publish a fee-for-service rate for U0004. Rates run from $60.97 in Florida to $100.00 in Arizona, with a median of $75.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 10
- Median rate
- $75.00units vary by state
- Highest
- $100.00Arizona
- Medicare (non-facility)
- —not on the physician fee schedule
U0004 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $100.00since 2022-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Clinical |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $100.00since 2020-07-01 | — | — | Plans negotiate; applies out of network | — | Lab Max Allowable (in Zipped Fee Schedul |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $80.38since 2024-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations) | $75.00since 2024-09-01 | — | — | Plans negotiate; applies out of network | — | Rates for Clinical Laboratory Services ( |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $75.00since 2021-01-01 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Nurse Practiti |
| NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service) | $75.00since 2021-03-15 | — | — | Plans negotiate; applies out of network | — | Nebraska Medicaid ad hoc COVID-19 fee sc |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $75.00since 2021-01-01 | — | — | Not classified | — | NJMMIS Coronavirus Services procedure co |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $75.00since 2023-05-11 | — | — | Plans negotiate; applies out of network | — | ODM CPT/HCPCS procedure code changes (Cl |
| MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service) | $67.50since 2022-07-01 | — | — | Plans must pay at least this | — | DOM Comprehensive Fee Schedule, March 20 |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $60.97since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | Independent Laboratory Fee Schedule (202 |
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 U0004?
It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $75.00. Arizona pays the most ($100.00) and Florida the least ($60.97).
Which state pays the highest Medicaid rate for U0004?
Arizona, at $100.00, effective 2022-10-01.
Do managed-care plans pay the same rate for U0004?
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.