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Billing code P9050 · Lab & pathology

P9050 Medicaid reimbursement rate by state (2026)

Granulocytes, pheresis, each unit. Medicaid pays a median of $1,241.96 for P9050 across 6 states, from $23.00 in Colorado to $1,975.99 in Indiana.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$1,241.96units vary by state
Lowest
$23.00Colorado
Highest
$1,975.99Indiana
Answer

What does Medicaid pay for P9050?

6 state Medicaid programs publish a fee-for-service rate for P9050. The national median is $1,241.96 (units differ between states). Indiana pays the most, $1,975.99 per unit, and Colorado the least, $23.00, a 85.9x spread.

State ranking

P9050 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2026-01-01$1,975.99unit—Plans must pay at least this—
2California Source · since 2026-10-01$1,387.55——Plans negotiate; applies out of network—
3Texas Source · since 2026-03-01$1,265.92——Plans negotiate; applies out of network—
6Colorado Source · since 2026-07-01$23.00——Not classified—
See all 6 states for P9050 — start free

2 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 P9050 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 P9050?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $1,241.96. Indiana pays the most ($1,975.99 per unit) and Colorado the least ($23.00).

Which state pays the highest Medicaid rate for P9050?

Indiana, at $1,975.99 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for P9050?

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.