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Billing code P9054 · Lab & pathology

P9054 Medicaid reimbursement rate by state (2026)

Whole blood or red blood cells, leukocytes reduced, frozen. Medicaid pays a median of $218.81 for P9054 across 7 states, from $25.50 in Kansas to $418.08 in Indiana.

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

States publishing
7
National median
$218.81units vary by state
Lowest
$25.50Kansas
Highest
$418.08Indiana
Answer

What does Medicaid pay for P9054?

7 state Medicaid programs publish a fee-for-service rate for P9054. The national median is $218.81 (units differ between states). Indiana pays the most, $418.08 per unit, and Kansas the least, $25.50, a 16.4x spread.

State ranking

P9054 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$418.08unit—Plans must pay at least this—
2South Dakota Source · since 2026-07-01$245.83——Not classified—
3Oklahoma Source · since 2024-01-01$221.07——Plans must pay at least this—
7Kansas Source · since 2004-01-01$25.50——Plans must pay at least this—
See all 7 states for P9054 — 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 P9054 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 P9054?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $218.81. Indiana pays the most ($418.08 per unit) and Kansas the least ($25.50).

Which state pays the highest Medicaid rate for P9054?

Indiana, at $418.08 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for P9054?

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.