0409T Medicaid reimbursement rate by state (2026)
Outpatient hospital services (fee schedule). Medicaid pays a median of $11,427.08 for 0409T across 7 states, from $248.60 in Iowa to $21,930.03 in New Mexico.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- National median
- $11,427.08units vary by state
- Lowest
- $248.60Iowa
- Highest
- $21,930.03New Mexico
What does Medicaid pay for 0409T?
7 state Medicaid programs publish a fee-for-service rate for 0409T. The national median is $11,427.08 (units differ between states). New Mexico pays the most, $21,930.03, and Iowa the least, $248.60, a 88.2x spread.
0409T rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 0409T?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $11,427.08. New Mexico pays the most ($21,930.03) and Iowa the least ($248.60).
Which state pays the highest Medicaid rate for 0409T?
New Mexico, at $21,930.03, effective 2016-01-01.
Do managed-care plans pay the same rate for 0409T?
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.