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S9490 Medicaid reimbursement rate by state (2026)

Home infusion therapy, corticosteroid infusion. Medicaid pays a median of $48.49 per day for S9490 across 10 states, from $22.04 in Michigan to $149.77 in Montana.

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

States publishing
10
National median
$48.49per day
Lowest
$22.04Michigan
Highest
$149.77Montana

What does Medicaid pay for S9490?

10 state Medicaid programs publish a fee-for-service rate for S9490. The national median is $48.49 per day. Montana pays the most, $149.77 per day, and Michigan the least, $22.04 per day, a 6.8x spread.

S9490 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
1Montana Source · since 2025-07-01$149.77day—Not classified—
2Vermont Source · since 2023-03-01$134.06day—Not classified—
3Alaska Source · since 2026-07-01$75.00day—Not classified—
5Kentucky Source · since 2022-01-01$50.00day—State sets the plan rate—
6Oregon Source · since 2023-01-01$46.98day—Plans negotiate; applies out of network—
9Virginia Source · since 2004-01-01$27.00day—Plans negotiate; applies out of network—
10Michigan Source · since 2023-01-01$22.04day—Plans negotiate; applies out of network—
See all 10 states for S9490 — 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 S9490 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 S9490?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $48.49 per day. Montana pays the most ($149.77 per day) and Michigan the least ($22.04 per day).

Which state pays the highest Medicaid rate for S9490?

Montana, at $149.77 per day, effective 2025-07-01.

Do managed-care plans pay the same rate for S9490?

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.