G0341 Medicaid reimbursement rate by state (2026)
Percutaneous islet cell transplant. Medicaid pays a median of $1,257.92 for G0341 across 13 states, from $82.25 in Kansas to $2,455.62 in Alaska.
- States publishing
- 13
- National median
- $1,257.92units vary by state
- Lowest
- $82.25Kansas
- Highest
- $2,455.62Alaska
What does Medicaid pay for G0341?
13 state Medicaid programs publish a fee-for-service rate for G0341. The national median is $1,257.92 (units differ between states). Alaska pays the most, $2,455.62, and Kansas the least, $82.25, a 29.9x spread.
Medicare (non-facility, 2026 physician fee schedule): $1,424.14–$1,763.37 depending on the state's Medicare locality.
G0341 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 13 states with every variant, modifier and effective date.
How to read this table
- Order. States are listed from the highest published rate to the lowest. No single unit is shared by 8 or more states for G0341, so the order is by published amount and is not a like-for-like rank.
- Medicaid rate. The most the state's fee-for-service program pays for one unit, as published. 7 of the 13 states list more than one rate for G0341, by modifier, provider type or setting; the table shows the one that matches the provider level and setting used across states, without add-ons.
- Unit. None of the 13 schedules prints a separate unit for G0341, so each amount is a flat payment for one service as the code defines it.
- Per hour. G0341 is not billed in time units in these states, so no hourly figure is shown.
- Managed-care plans. The rule the state sets for its plans on this rate. What each rule means is explained below.
- % of Medicare. Medicare amounts exist for G0341, but no state's Medicaid unit matches Medicare's billing unit closely enough to compute a percentage.
- Source and date. Each Source link opens the state's own document; “since” is the date the rate took effect.
Why G0341 rates differ between states
Published rates for G0341 run from $82.25 in Kansas to $2,455.62 in Alaska, a 29.9x gap in the same unit. Half the states pay more than the median of $1,257.92 and half pay less. The usual reasons for a spread like this in physician & professional rates:
- Some states pay physician services as a percentage of the Medicare fee schedule; others keep a schedule of their own that may not have been rebased for years.
- Primary-care and pediatric add-ons, enhanced rates for certain specialties and targeted increases for access problems change individual codes without moving the rest of the schedule.
- Each state sets its own physician conversion factor or fee for every code, and many update them on a state budget cycle rather than on Medicare's calendar.
Timing matters too. 8 states set the current rate for G0341 in 2026 or later, while 4 states still pay a rate that took effect in 2022 or earlier. A state that has not updated its rate in years will drift down the ranking as others raise theirs.
What managed-care plans pay for G0341
Most Medicaid members are in managed-care plans, and plans don't publish their provider fee schedules. For G0341, the public signal is the rule each state sets for its plans, recorded on each rate above.
In 2 states, the published rate binds plans: a floor, a pass-through or a state-set rate. In 5 states, plans negotiate and the published rate is a benchmark or out-of-network default. The rule for the remaining 6 states is not classified yet.
- Plans negotiate; the published rate applies out of network (5 states). In-network rates can be above or below the published rate. The published rate is the benchmark both sides know, and the fallback if no contract is signed.
- Plans must pay at least the published rate (2 states). The published rate is your floor. Negotiate up from it, and if a plan pays less, the contract provision is the basis for a payment dispute.
Plan-negotiated rates are never estimated here. To see the rule and its citation for a particular state, open that state's managed-care page, for example Alaska managed care.
Units and billing for G0341
G0341 is a HCPCS Level II professional services code in the physician & professional line, billed mostly by physicians, nurse practitioners, physician assistants and other licensed practitioners. G codes describe professional services and procedures that have no CPT code, or that payers define more narrowly. Many are timed, so check the unit before comparing.
Practitioners who are not physicians are often paid a reduced percentage of the published amount, so check the schedule for the reduction that applies to your provider type. Where a state publishes separate facility and non-facility amounts, the non-facility (office) amount is usually higher because the practice carries the overhead.
Medicare's 2026 physician fee schedule pays $1,424.14–$1,763.37 for G0341 (non-facility), depending on the Medicare locality. That is a useful reference point, but Medicare and Medicaid can define the unit differently, so compare only where the units match.
Before billing, confirm the rate, unit and any modifier with the state's current schedule or the plan: the amounts here are as published, not a guarantee of payment.
Frequently asked questions
What does Medicaid pay for G0341?
It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $1,257.92. Alaska pays the most ($2,455.62) and Kansas the least ($82.25).
Which state pays the highest Medicaid rate for G0341?
Alaska, at $2,455.62, effective 2026-07-01.
Which state pays the lowest Medicaid rate for G0341?
Kansas, at $82.25, effective 2009-12-18.
What unit is G0341 billed in?
None of the 13 schedules prints a separate unit for G0341, so each amount is a flat payment for one service as the code defines it.
Do managed-care plans pay the same rate for G0341?
Not necessarily. In 2 states, the published rate binds plans: a floor, a pass-through or a state-set rate. In 5 states, plans negotiate and the published rate is a benchmark or out-of-network default. The rule for the remaining 6 states is not classified yet. Each rule is cited to the plan contract, statute or notice in the workspace.