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A9698 Medicaid reimbursement rates by state

Non-radioactive contrast imaging material. 8 state Medicaid programs publish a fee-for-service rate for A9698 at the physician psychologist level. Rates run from $0.00 in California to $184.05 in Maine, with a median of $11.31.

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

States publishing
8
Median rate
$11.31units vary by state
Highest
$184.05Maine
Medicare (non-facility)
—not on the physician fee schedule

A9698 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
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$184.05⚠ over 3× mediansince 2019-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$11.51since 2026-01-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$11.51since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$11.51since 2024-01-01——Not classified—Montana Healthcare Programs fee schedule
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$11.11since 2026-07-01——Not classified—South Dakota Medicaid Drugs and Biologic
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$10.36since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$9.95since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$0.00since 2023-01-01——Plans negotiate; applies out of network—Medi Cal Physician Administered Drug Rat

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 A9698?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $11.31. Maine pays the most ($184.05) and California the least ($0.00).

Which state pays the highest Medicaid rate for A9698?

Maine, at $184.05, effective 2019-01-01.

Do managed-care plans pay the same rate for A9698?

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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