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90620 Medicaid reimbursement rates by state

Vaccines and immune globulins. 32 state Medicaid programs publish a fee-for-service rate for 90620 at the physician psychologist level. Rates run from $2.67 in Washington to $389.87 in Arizona, with a median of $236.38.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
32
Median rate
$236.38units vary by state
Highest
$389.87Arizona
Medicare (non-facility)
—not on the physician fee schedule

90620 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$389.87since 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$269.77since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$263.09since 2026-04-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$258.08since 2026-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Local Health D
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$255.02since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$251.31since 2026-04-01——Plans negotiate; applies out of network—PADL Fee Schedule -Published Copy - Apri
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$251.31since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$251.31since 2026-08-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$248.05since 2026-06-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$247.16since 2026-04-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$247.16since 2026-06-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$244.18since 2026-09-01——Plans must pay at least this—Maryland Medicaid Professional Services
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$237.13since 2026-07-01——Plans negotiate; applies out of network—Prescribed Drugs Immunization Fee Schedu
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$237.13since 2025-07-01——Not classified—Immunization Rates (07/25)
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$237.13since 2026-04-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$236.38since 2024-08-01——Plans negotiate; applies out of network—MDHHS Child and Adolescent Health Center
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$236.38since 2025-01-01——Plans must pay at least this—Louisiana Medicaid Immunization Fee Sche
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$234.60since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$213.90since 2024-03-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$207.86since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$201.29since 2022-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical4.csv
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$179.25since 2020-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$171.20since 2015-08-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$122.95since 2024-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2024
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$21.96since 2015-05-04——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$19.79since 2016-10-01——Not classified—Physician Alabama Primary Care Enhanced
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$16.71since 2022-07-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas ARKids First-B (CHIP)$13.14since 2025-06-04——Not classified—Arkansas Medicaid ARKids First-B Screeni
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$10.92since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule IMMUNIZAT
PennsylvaniaRegistered nurse (RN) · Pennsylvania Medical Assistance (fee-for-service)$10.00since 2015-09-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$8.07since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Nurse Midwife
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$2.67since 2025-01-01——Plans must pay at least this—HCA Enhanced pediatric fee schedule (enh

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 90620?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $236.38. Arizona pays the most ($389.87) and Washington the least ($2.67).

Which state pays the highest Medicaid rate for 90620?

Arizona, at $389.87, effective 2023-04-01.

Do managed-care plans pay the same rate for 90620?

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.

Related Pharmacy codes

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