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Billing code P9012 · Lab & pathology

P9012 Medicaid reimbursement rate by state (2026)

Cryoprecipitate, each unit. Medicaid pays a median of $36.40 for P9012 across 11 states, from $7.20 in Montana to $77.61 in Indiana.

Data as of Oct 5, 202611 statesEvery rate links to its official source

States publishing
11
National median
$36.40units vary by state
Lowest
$7.20Montana
Highest
$77.61Indiana
Answer

What does Medicaid pay for P9012?

11 state Medicaid programs publish a fee-for-service rate for P9012. The national median is $36.40 (units differ between states). Indiana pays the most, $77.61 per unit, and Montana the least, $7.20, a 10.8x spread.

State ranking

P9012 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2026-01-01$77.61unit—Plans must pay at least this—
2West Virginia Source · since 2026-04-01$64.76——Plans negotiate; applies out of network—
3South Dakota Source · since 2026-07-01$64.46——Not classified—
5Oklahoma Source · since 2024-01-01$39.75——Plans must pay at least this—
6Texas Source · since 2015-04-01$36.40——Plans negotiate; applies out of network—
10Kansas Source · since 1987-07-01$17.50——Plans must pay at least this—
11Montana Source · since 2025-07-01$7.20——Not classified—
See all 11 states for P9012 — start free

4 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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

Track P9012 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for P9012?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $36.40. Indiana pays the most ($77.61 per unit) and Montana the least ($7.20).

Which state pays the highest Medicaid rate for P9012?

Indiana, at $77.61 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for P9012?

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.