A9537 Medicaid reimbursement rate by state (2026)
Technetium tc-99m mebrofenin, diagnostic, per study dose. Medicaid pays a median of $51.30 for A9537 across 23 states, from $5.80 in North Carolina to $141.76 in Kansas.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 23
- National median
- $51.30units vary by state
- Lowest
- $5.80North Carolina
- Highest
- $141.76Kansas
What does Medicaid pay for A9537?
23 state Medicaid programs publish a fee-for-service rate for A9537 at the physician psychologist level. The national median is $51.30 (units differ between states). Kansas pays the most, $141.76, and North Carolina the least, $5.80, a 24.4x spread.
A9537 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 23 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A9537?
It depends on the state. Of the 23 states with a published fee-for-service rate, the median is $51.30. Kansas pays the most ($141.76) and North Carolina the least ($5.80).
Which state pays the highest Medicaid rate for A9537?
Kansas, at $141.76, effective 2006-01-01.
Do managed-care plans pay the same rate for A9537?
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.