S5502 Medicaid reimbursement rate by state (2026)
Home infusion therapy, catheter care / maintenance. Medicaid pays a median of $10.00 per day for S5502 across 7 states, from $3.55 in Michigan to $29.40 in Vermont.
- States publishing
- 7
- National median
- $10.00per day
- Lowest
- $3.55Michigan
- Highest
- $29.40Vermont
What does Medicaid pay for S5502?
7 state Medicaid programs publish a fee-for-service rate for S5502. The national median is $10.00 per day. Vermont pays the most, $29.40 per day, and Michigan the least, $3.55 per day, a 8.3x spread.
S5502 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.
Frequently asked questions
What does Medicaid pay for S5502?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $10.00 per day. Vermont pays the most ($29.40 per day) and Michigan the least ($3.55 per day).
Which state pays the highest Medicaid rate for S5502?
Vermont, at $29.40 per day, effective 2023-03-01.
Do managed-care plans pay the same rate for S5502?
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.