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A9612 Medicaid reimbursement rates by state

Injection, fluorescein, 1 mg. 11 state Medicaid programs publish a fee-for-service rate for A9612 at the physician psychologist level. Rates run from $0.03 in Kansas to $0.43 in Arkansas, with a median of $0.17.

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

States publishing
11
Median rate
$0.17units vary by state
Highest
$0.43Arkansas
Medicare (non-facility)
—not on the physician fee schedule

A9612 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$0.43since 2025-12-01——Not classified—Arkansas Medicaid Physician / CRNA / Fam
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$0.41since 2026-07-01——Not classified—South Dakota Medicaid Physician fee sche
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$0.40since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$0.37since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$0.29since 2025-10-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$0.17since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$0.16since 2025-10-01——Not classified—2026 Fee Schedule - Covered Procedures R
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$0.15since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$0.11since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$0.10since 2025-10-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$0.03since 2025-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for A9612?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $0.17. Arkansas pays the most ($0.43) and Kansas the least ($0.03).

Which state pays the highest Medicaid rate for A9612?

Arkansas, at $0.43, effective 2025-12-01.

Do managed-care plans pay the same rate for A9612?

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 table shows the rule for each state, cited to the contract or statute.

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