Skip to content
Billing code P9021 · Lab & pathology

P9021 Medicaid reimbursement rate by state (2026)

Red blood cells, each unit. Medicaid pays a median of $93.35 for P9021 across 13 states, from $12.42 in Montana to $189.72 in Indiana.

Data as of Oct 5, 202613 statesEvery rate links to its official source

States publishing
13
National median
$93.35units vary by state
Lowest
$12.42Montana
Highest
$189.72Indiana
Answer

What does Medicaid pay for P9021?

13 state Medicaid programs publish a fee-for-service rate for P9021. The national median is $93.35 (units differ between states). Indiana pays the most, $189.72 per unit, and Montana the least, $12.42, a 15.3x spread.

State ranking

P9021 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2026-01-01$189.72unit—Plans must pay at least this—
2West Virginia Source · since 2026-04-01$135.51——Plans negotiate; applies out of network—
3California Source · since 2026-10-01$129.66——Plans negotiate; applies out of network—
6Hawaii Source · since 2024-03-04$94.00——Plans negotiate; applies out of network—
7Oklahoma Source · since 2024-01-01$93.35——Plans must pay at least this—
8Texas Source · since 2026-03-01$82.73——Plans negotiate; applies out of network—
12Kansas Source · since 1987-07-01$51.00——Plans must pay at least this—
13Montana Source · since 2025-07-01$12.42——Not classified—
See all 13 states for P9021 — start free

5 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 P9021 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 P9021?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $93.35. Indiana pays the most ($189.72 per unit) and Montana the least ($12.42).

Which state pays the highest Medicaid rate for P9021?

Indiana, at $189.72 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for P9021?

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.