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A4642 Medicaid reimbursement rate by state (2026)

Indium in-111 satumomab pendetide, diagnostic. Medicaid pays a median of $710.55 for A4642 across 9 states, from $24.60 in Kansas to $1,702.37 in Arizona.

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

States publishing
9
National median
$710.55units vary by state
Lowest
$24.60Kansas
Highest
$1,702.37Arizona

What does Medicaid pay for A4642?

9 state Medicaid programs publish a fee-for-service rate for A4642 at the physician psychologist level. The national median is $710.55 (units differ between states). Arizona pays the most, $1,702.37, and Kansas the least, $24.60, a 69.2x spread.

A4642 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2026-10-01$1,702.37——Plans negotiate; applies out of network—
2Washington Source · since 2022-07-01$1,695.16——Plans negotiate; applies out of network—
3South Dakota Source · since 2026-07-01$1,635.83——Not classified—
5Iowa Source · since 2013-07-01$710.55——Plans must pay at least this—
8Indiana Source · since 2017-11-10$90.00percent of billed charges—Plans must pay at least this—
9Kansas Source · since 1995-01-01$24.60——Not classified—
See all 9 states for A4642 — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track A4642 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for A4642?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $710.55. Arizona pays the most ($1,702.37) and Kansas the least ($24.60).

Which state pays the highest Medicaid rate for A4642?

Arizona, at $1,702.37, effective 2026-10-01.

Do managed-care plans pay the same rate for A4642?

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.