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A9540 Medicaid reimbursement rate by state (2026)

Technetium tc-99m macroaggregated albumin, diagnostic. Medicaid pays a median of $30.00 for A9540 across 18 states, from $7.25 in Kansas to $244.63 in Maryland.

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

States publishing
18
National median
$30.00units vary by state
Lowest
$7.25Kansas
Highest
$244.63Maryland

What does Medicaid pay for A9540?

18 state Medicaid programs publish a fee-for-service rate for A9540 at the physician psychologist level. The national median is $30.00 (units differ between states). Maryland pays the most, $244.63, and Kansas the least, $7.25, a 33.7x spread.

A9540 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 18 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Maryland Source · since 2026-01-01$244.63——Not classified—
2North Carolina Source · since 2022-01-01$38.41——Plans negotiate; applies out of network—
3Washington Source · since 2023-07-01$34.20——Plans negotiate; applies out of network—
9California Source · since 2026-10-01$30.00——Plans negotiate; applies out of network—
10Minnesota Source · since 2024-07-01$30.00——Plans negotiate; applies out of network—
11Idaho Source · since 2025-09-01$29.55——Not classified—
17Alabama Source · since 2026-08-25$15.50——Not classified—
18Kansas Source · since 2006-01-01$7.25——Not classified—
See all 18 states for A9540 — start free

10 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 A9540 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 A9540?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $30.00. Maryland pays the most ($244.63) and Kansas the least ($7.25).

Which state pays the highest Medicaid rate for A9540?

Maryland, at $244.63, effective 2026-01-01.

Do managed-care plans pay the same rate for A9540?

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.