0405U Medicaid reimbursement rate by state (2026)
Clinical lab tests. Medicaid pays a median of $1,735.07 for 0405U across 9 states, from $956.06 in Florida to $1,770.48 in Montana.
- States publishing
- 9
- National median
- $1,735.07units vary by state
- Lowest
- $956.06Florida
- Highest
- $1,770.48Montana
What does Medicaid pay for 0405U?
9 state Medicaid programs publish a fee-for-service rate for 0405U. The national median is $1,735.07 (units differ between states). Montana pays the most, $1,770.48, and Florida the least, $956.06, a 1.9x spread.
0405U 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.
Frequently asked questions
What does Medicaid pay for 0405U?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $1,735.07. Montana pays the most ($1,770.48) and Florida the least ($956.06).
Which state pays the highest Medicaid rate for 0405U?
Montana, at $1,770.48, effective 2024-01-01.
Do managed-care plans pay the same rate for 0405U?
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.