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A9528 Medicaid reimbursement rate by state (2026)

Iodine i-131 sodium iodide capsule(s), diagnostic. Medicaid pays a median of $25.00 for A9528 across 11 states, from $5.00 in Kansas to $52.61 in North Carolina.

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

States publishing
11
National median
$25.00units vary by state
Lowest
$5.00Kansas
Highest
$52.61North Carolina

What does Medicaid pay for A9528?

11 state Medicaid programs publish a fee-for-service rate for A9528 at the physician psychologist level. The national median is $25.00 (units differ between states). North Carolina pays the most, $52.61, and Kansas the least, $5.00, a 10.5x spread.

A9528 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Carolina Source · since 2022-01-01$52.61——Plans negotiate; applies out of network—
2Maryland Source · since 2026-01-01$50.57——Not classified—
3New Mexico Source · since 2025-01-01$49.60——Plans must pay at least this—
5California Source · since 2026-10-01$30.46——Plans negotiate; applies out of network—
6Alabama Source · since 2026-08-25$25.00——Not classified—
10Idaho Source · since 2025-09-01$5.26——Not classified—
11Kansas Source · since 2004-01-01$5.00——Not classified—
See all 11 states for A9528 — start free

4 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 A9528 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 A9528?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $25.00. North Carolina pays the most ($52.61) and Kansas the least ($5.00).

Which state pays the highest Medicaid rate for A9528?

North Carolina, at $52.61, effective 2022-01-01.

Do managed-care plans pay the same rate for A9528?

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.