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Billing code S4989 · Physician & professional

S4989 Medicaid reimbursement rate by state (2026)

Contraceptive intrauterine device (e.g., progestacert iud). Medicaid pays a median of $121.99 for S4989 across 10 states, from $84.00 in Oklahoma to $800.00 in Pennsylvania.

Data as of Oct 5, 202610 statesEvery rate links to its official source

States publishing
10
National median
$121.99units vary by state
Lowest
$84.00Oklahoma
Highest
$800.00Pennsylvania
Answer

What does Medicaid pay for S4989?

10 state Medicaid programs publish a fee-for-service rate for S4989. The national median is $121.99 (units differ between states). Pennsylvania pays the most, $800.00, and Oklahoma the least, $84.00, a 9.5x spread.

State ranking

S4989 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 10 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Pennsylvania Source · since 2016-12-01$800.00——Plans negotiate; applies out of network—
2New Mexico Source · since 2025-01-01$665.02——Plans must pay at least this—
3New Hampshire Source · since 2021-01-01$419.87——Plans negotiate; applies out of network—
5Montana Source · since 2025-07-01$128.54——Not classified—
6Colorado Source · since 2026-07-01$115.44——Not classified—
9South Carolina Source · since 2011-04-08$86.33——Plans negotiate; applies out of network—
10Oklahoma Source · since 2024-01-01$84.00——Plans must pay at least this—
See all 10 states for S4989 — 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 S4989 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 S4989?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $121.99. Pennsylvania pays the most ($800.00) and Oklahoma the least ($84.00).

Which state pays the highest Medicaid rate for S4989?

Pennsylvania, at $800.00, effective 2016-12-01.

Do managed-care plans pay the same rate for S4989?

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.