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Billing code 0064U · Lab & pathology

0064U Medicaid reimbursement rate by state (2026)

Clinical lab tests. Medicaid pays a median of $28.20 for 0064U across 9 states, from $7.83 in Kansas to $31.33 in Montana.

Data as of Oct 5, 20269 statesEvery rate links to its official source

States publishing
9
National median
$28.20units vary by state
Lowest
$7.83Kansas
Highest
$31.33Montana
Answer

What does Medicaid pay for 0064U?

9 state Medicaid programs publish a fee-for-service rate for 0064U. The national median is $28.20 (units differ between states). Montana pays the most, $31.33, and Kansas the least, $7.83, a 4.0x spread.

State ranking

0064U rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2021-07-01$31.33——Not classified—
2Kentucky Source · since 2020-01-01$31.33——Plans negotiate; applies out of network—
3Hawaii Source · since 2026-06-01$31.33——Plans negotiate; applies out of network—
5Mississippi Source · since 2026-07-01$28.20——Plans must pay at least this—
8Florida Source · since 2026-01-01$16.92——Plans negotiate; applies out of network—
9Kansas Source · since 2021-01-01$7.83——Not classified—
See all 9 states for 0064U — start free

3 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 0064U 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 0064U?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $28.20. Montana pays the most ($31.33) and Kansas the least ($7.83).

Which state pays the highest Medicaid rate for 0064U?

Montana, at $31.33, effective 2021-07-01.

Do managed-care plans pay the same rate for 0064U?

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.