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Billing code P9051 · Lab & pathology

P9051 Medicaid reimbursement rate by state (2026)

Whole blood or red blood cells, leukocytes reduced. Medicaid pays a median of $138.18 for P9051 across 7 states, from $19.16 in Montana to $260.86 in Indiana.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$138.18units vary by state
Lowest
$19.16Montana
Highest
$260.86Indiana
Answer

What does Medicaid pay for P9051?

7 state Medicaid programs publish a fee-for-service rate for P9051. The national median is $138.18 (units differ between states). Indiana pays the most, $260.86 per unit, and Montana the least, $19.16, a 13.6x spread.

State ranking

P9051 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2026-01-01$260.86unit—Plans must pay at least this—
2South Dakota Source · since 2026-07-01$174.61——Not classified—
3California Source · since 2026-10-01$147.90——Plans negotiate; applies out of network—
7Montana Source · since 2025-07-01$19.16——Not classified—
See all 7 states for P9051 — start free

3 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 P9051 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 P9051?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $138.18. Indiana pays the most ($260.86 per unit) and Montana the least ($19.16).

Which state pays the highest Medicaid rate for P9051?

Indiana, at $260.86 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for P9051?

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.