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C2645 Medicaid reimbursement rates by state

Brachytherapy planar source, palladium-103. 14 state Medicaid programs publish a fee-for-service rate for C2645. Rates run from $0.0513 in Iowa to $4.69 in Indiana, with a median of $3.53.

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

States publishing
14
Median rate
$3.53units vary by state
Highest
$4.69Indiana
Medicare (non-facility)
—not on the physician fee schedule

C2645 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
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$4.69since 2020-08-01unit—Plans must pay at least this—IHCP Outpatient Fee Schedule (2025-10)
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$4.69since 2025-01-01——Plans negotiate; applies out of network—KY Medicaid ASC fee schedule (2025ASCFee
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$4.69since 2016-01-01——Plans must pay at least this—OPPS Codes (NM Medicaid Hospital Outpati
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$4.46since 2025-01-01——Not classified—Arkansas Medicaid CY2025 Ambulatory Surg
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$4.46since 2018-01-01——Plans negotiate; applies out of network—DMAP 2024 ASC Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$4.14since 2026-07-01——Plans must pay at least this—MO HealthNet fee schedule: Outpatient Ho
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$3.56since 2026-02-01——Not classified—DVHA OPPS Fee Schedule workbook, Septemb
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$3.49since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$3.40since 2025-07-01——Plans negotiate; applies out of network—AHCCCS Outpatient Hospital Fee Schedule
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$3.21since 2026-01-01——Not classified—Montana Healthcare Programs Outpatient P
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$2.45since 2026-07-01——Plans negotiate; applies out of network—MDHHS ASC payment rates, July 2026
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$2.44since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$0.0513since 2026-01-01——Not classified—CMAP Addendum B - OPPS Payment Type by P
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$0.0513since 2026-01-01——Plans must pay at least this—Iowa Medicaid Addendum B (CY 26-Janaury)

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 C2645?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $3.53. Indiana pays the most ($4.69 per unit) and Iowa the least ($0.0513).

Which state pays the highest Medicaid rate for C2645?

Indiana, at $4.69 per unit, effective 2020-08-01.

Do managed-care plans pay the same rate for C2645?

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.

Related Hospital outpatient codes

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