90656 Medicaid reimbursement rates by state
Vaccines and immune globulins. 20 state Medicaid programs publish a fee-for-service rate for 90656 at the physician psychologist level. Rates run from $2.67 in Washington to $36.98 in Arizona, with a median of $21.01.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 20
- Median rate
- $21.01units vary by state
- Highest
- $36.98Arizona
- Medicare (non-facility)
- —not on the physician fee schedule
90656 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $36.98since 2023-04-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Physicia |
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $27.68since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | Medi-Cal Rates (Rates files zip: rates_d |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $23.90since 2026-08-01 | — | — | Plans must pay at least this | — | Maryland Medicaid Professional Services |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $23.89since 2026-08-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Child and Adolescent Health Center |
| MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service) | $23.88since 2026-08-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $23.88since 2026-08-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file cptmedical4.csv |
| TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP) | $21.87since 2026-09-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - Physi |
| FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service) | $21.08since 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) | $21.08since 2026-07-01 | — | — | Not classified | — | Immunization Rates (07/26) |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees) | $21.08since 2026-08-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Medical- |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $20.94since 2026-07-13 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Local Health D |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $20.73since 2025-10-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $20.13since 2026-07-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $19.77since 2019-01-01 | — | — | Plans negotiate; applies out of network | — | Schedule of Maximum Allw Pymt Physician |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $19.77since 2018-11-01 | — | — | Plans negotiate; applies out of network | — | ODM provider-administered pharmaceutical |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $16.71since 2024-07-02 | — | — | Plans negotiate; applies out of network | — | HFS Practitioner Fee Schedule (effective |
| 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 2024-01-01 | — | — | 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 90656?
It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $21.01. Arizona pays the most ($36.98) and Washington the least ($2.67).
Which state pays the highest Medicaid rate for 90656?
Arizona, at $36.98, effective 2023-04-01.
Do managed-care plans pay the same rate for 90656?
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
90651Vaccines and immune globulins · 20 states90658Vaccines and immune globulins · 20 states90620Vaccines and immune globulins · 20 states90621Vaccines and immune globulins · 20 states90714Vaccines and immune globulins · 20 statesQ4101Apligraf, per square centimeter (add-on · 20 states90739Physician-administered drugs (J-codes) · 19 states90740Vaccines and immune globulins · 19 states91323Vaccines and immune globulins · 19 statesQ4186Epifix, per square centimeter (add-on · 19 statesJ1459Injection, immune globulin (privigen), intravenous · 18 statesJ1561Injection, immune globulin, (gamunex-c/gammaked) · 18 states
Track 90656 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.