0473U Medicaid reimbursement rate by state (2026)
Clinical lab tests. Medicaid pays a median of $4,050.00 for 0473U across 15 states, from $2,430.00 in Florida to $4,500.00 in Montana.
- States publishing
- 15
- National median
- $4,050.00units vary by state
- Lowest
- $2,430.00Florida
- Highest
- $4,500.00Montana
What does Medicaid pay for 0473U?
15 state Medicaid programs publish a fee-for-service rate for 0473U. The national median is $4,050.00 (units differ between states). Montana pays the most, $4,500.00, and Florida the least, $2,430.00, a 1.9x spread.
0473U rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 15 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 0473U?
It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $4,050.00. Montana pays the most ($4,500.00) and Florida the least ($2,430.00).
Which state pays the highest Medicaid rate for 0473U?
Montana, at $4,500.00, effective 2025-01-01.
Do managed-care plans pay the same rate for 0473U?
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.