S9435 Medicaid reimbursement rate by state (2026)
Medical foods for inborn errors of metabolism. Medicaid pays a median of $124.38 for S9435 across 6 states, from $3.36 in Utah to $525.00 in Minnesota.
- States publishing
- 6
- National median
- $124.38units vary by state
- Lowest
- $3.36Utah
- Highest
- $525.00Minnesota
What does Medicaid pay for S9435?
6 state Medicaid programs publish a fee-for-service rate for S9435. The national median is $124.38 (units differ between states). Minnesota pays the most, $525.00, and Utah the least, $3.36, a 156.3x spread.
S9435 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S9435?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $124.38. Minnesota pays the most ($525.00) and Utah the least ($3.36).
Which state pays the highest Medicaid rate for S9435?
Minnesota, at $525.00, effective 2001-01-01.
Do managed-care plans pay the same rate for S9435?
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.