P9612 Medicaid reimbursement rate by state (2026)
Catheterization for collection of specimen, single patient. Medicaid pays a median of $7.86 for P9612 across 26 states, from $0.75 in Kansas to $10.28 in New Mexico.
- States publishing
- 26
- National median
- $7.86units vary by state
- Lowest
- $0.75Kansas
- Highest
- $10.28New Mexico
What does Medicaid pay for P9612?
26 state Medicaid programs publish a fee-for-service rate for P9612. The national median is $7.86 (units differ between states). New Mexico pays the most, $10.28, and Kansas the least, $0.75, a 13.7x spread.
P9612 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 26 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for P9612?
It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $7.86. New Mexico pays the most ($10.28) and Kansas the least ($0.75).
Which state pays the highest Medicaid rate for P9612?
New Mexico, at $10.28, effective 2023-07-01.
Do managed-care plans pay the same rate for P9612?
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.