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Billing code A9568 · Equipment & supplies

A9568 Medicaid reimbursement rate by state (2026)

Technetium tc-99m arcitumomab, diagnostic, per study dose. Medicaid pays a median of $1,182.52 for A9568 across 12 states, from $5.00 in Kansas to $1,309.10 in New Mexico.

Data as of Oct 5, 202612 statesEvery rate links to its official source

States publishing
12
National median
$1,182.52units vary by state
Lowest
$5.00Kansas
Highest
$1,309.10New Mexico
Answer

What does Medicaid pay for A9568?

12 state Medicaid programs publish a fee-for-service rate for A9568. The national median is $1,182.52 (units differ between states). New Mexico pays the most, $1,309.10, and Kansas the least, $5.00, a 261.8x spread.

State ranking

A9568 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 12 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$1,309.10——Plans must pay at least this—
2Washington Source · since 2023-07-01$1,235.00——Plans negotiate; applies out of network—
3Maryland Source · since 2026-01-01$1,235.00——Not classified—
6South Dakota Source · since 2026-07-01$1,191.78——Not classified—
7Arizona Source · since 2023-04-01$1,173.25——Plans negotiate; applies out of network—
8Idaho Source · since 2025-09-01$1,067.04——Not classified—
11Nevada Source · since 2024-01-01$19.81——Plans must pay at least this—
12Kansas Source · since 2015-01-01$5.00——Not classified—
See all 12 states for A9568 — 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.

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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 A9568 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for A9568?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $1,182.52. New Mexico pays the most ($1,309.10) and Kansas the least ($5.00).

Which state pays the highest Medicaid rate for A9568?

New Mexico, at $1,309.10, effective 2025-01-01.

Do managed-care plans pay the same rate for A9568?

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.