A9572 Medicaid reimbursement rate by state (2026)
Indium in-111 pentetreotide, diagnostic, per study dose. Medicaid pays a median of $3,870.00 for A9572 across 15 states, from $78.75 in Ohio to $5,160.10 in Wisconsin.
- States publishing
- 15
- National median
- $3,870.00units vary by state
- Lowest
- $78.75Ohio
- Highest
- $5,160.10Wisconsin
What does Medicaid pay for A9572?
15 state Medicaid programs publish a fee-for-service rate for A9572. The national median is $3,870.00 (units differ between states). Wisconsin pays the most, $5,160.10, and Ohio the least, $78.75, a 65.5x spread.
A9572 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 15 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A9572?
It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $3,870.00. Wisconsin pays the most ($5,160.10) and Ohio the least ($78.75).
Which state pays the highest Medicaid rate for A9572?
Wisconsin, at $5,160.10, effective 2008-07-01.
Do managed-care plans pay the same rate for A9572?
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.