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S9355 Medicaid reimbursement rate by state (2026)

Home infusion therapy, chelation therapy. Medicaid pays a median of $72.79 per day for S9355 across 9 states, from $22.04 in Michigan to $149.59 in Montana.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
9
National median
$72.79per day
Lowest
$22.04Michigan
Highest
$149.59Montana

What does Medicaid pay for S9355?

9 state Medicaid programs publish a fee-for-service rate for S9355. The national median is $72.79 per day. Montana pays the most, $149.59 per day, and Michigan the least, $22.04 per day, a 6.8x spread.

S9355 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2025-07-01$149.59day—Not classified—
2Oregon Source · since 2009-01-01$83.64day—Plans negotiate; applies out of network—
3Alaska Source · since 2026-07-01$75.00day—Not classified—
5Minnesota Source · since 2012-01-01$72.79day—Plans negotiate; applies out of network—
8Virginia Source · since 2012-07-01$27.00day—Plans negotiate; applies out of network—
9Michigan Source · since 2023-01-01$22.04day—Plans negotiate; applies out of network—
See all 9 states for S9355 — 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.

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 S9355 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for S9355?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $72.79 per day. Montana pays the most ($149.59 per day) and Michigan the least ($22.04 per day).

Which state pays the highest Medicaid rate for S9355?

Montana, at $149.59 per day, effective 2025-07-01.

Do managed-care plans pay the same rate for S9355?

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.