How Much Does Medicaid Pay for Complete cbc w/auto diff wbc?
HCPCS 85025 Year 2024
Average Payment by State
| State | Value |
|---|
| Alabama | $6.88 |
| Alaska | $17.79 |
| Arizona | $1.13 |
| Arkansas | $6.97 |
| California | $3.66 |
| Colorado | $2.74 |
| Connecticut | $1.62 |
| Delaware | $14.27 |
| District of Columbia | $1.19 |
| Florida | $1.57 |
| Georgia | $4.66 |
| Guam | $48.67 |
| Hawaii | $5.32 |
| Idaho | $3.09 |
| Illinois | $3.57 |
| Indiana | $4.72 |
| Iowa | $5.89 |
| Kansas | $4.46 |
| Kentucky | $7.27 |
| Louisiana | $4.66 |
| Maine | $1.55 |
| Maryland | $5.08 |
| Massachusetts | $3.86 |
| Michigan | $2.23 |
| Minnesota | $8.63 |
| Mississippi | $3.67 |
| Missouri | $5.09 |
| Montana | $0.97 |
| Nebraska | $2.95 |
| Nevada | $2.68 |
| New Hampshire | $3.26 |
| New Jersey | $2.33 |
| New Mexico | $9.01 |
| New York | $2.64 |
| North Carolina | $5.20 |
| North Dakota | $5.31 |
| Ohio | $3.27 |
| Oklahoma | $6.27 |
| Oregon | $4.48 |
| Pennsylvania | $4.55 |
| Puerto Rico | $7.39 |
| Rhode Island | $38.29 |
| South Carolina | $2.04 |
| South Dakota | $6.52 |
| Tennessee | $3.81 |
| Texas | $5.36 |
| U.S. Virgin Islands | $7.12 |
| Utah | $9.98 |
| Vermont | $6.05 |
| Virginia | $1.77 |
| Washington | $4.16 |
| West Virginia | $6.18 |
| Wisconsin | $5.35 |
| Wyoming | $0.48 |
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Providers |
|---|
| Alabama | $6.88 | 470,684 | $3,239,052.46 | 218 |
| Alaska | $17.79 | 76,592 | $1,362,209.06 | 44 |
| Arizona | $1.13 | 1,130,119 | $1,273,165.00 | 210 |
| Arkansas | $6.97 | 277,603 | $1,935,379.05 | 178 |
| California | $3.66 | 7,751,717 | $28,395,032.87 | 1,167 |
| Colorado | $2.74 | 311,100 | $852,009.41 | 144 |
| Connecticut | $1.62 | 603,875 | $980,546.10 | 72 |
| Delaware | $14.27 | 62,271 | $888,780.31 | 18 |
| District of Columbia | $1.19 | 41,477 | $49,443.73 | 14 |
| Florida | $1.57 | 2,092,114 | $3,282,843.76 | 429 |
| Georgia | $4.66 | 291,033 | $1,355,072.01 | 78 |
| Guam | $48.67 | 1,949 | $94,856.87 | 2 |
| Hawaii | $5.32 | 167,682 | $892,248.36 | 64 |
| Idaho | $3.09 | 33,958 | $104,842.62 | 47 |
| Illinois | $3.57 | 1,445,742 | $5,159,463.70 | 285 |
| Indiana | $4.72 | 591,216 | $2,789,550.37 | 183 |
| Iowa | $5.89 | 175,391 | $1,033,186.04 | 164 |
| Kansas | $4.46 | 253,675 | $1,131,471.58 | 88 |
| Kentucky | $7.27 | 809,322 | $5,882,454.15 | 184 |
| Louisiana | $4.66 | 665,775 | $3,100,680.61 | 185 |
| Maine | $1.55 | 222,292 | $344,799.87 | 53 |
| Maryland | $5.08 | 290,971 | $1,478,514.82 | 154 |
| Massachusetts | $3.86 | 1,245,495 | $4,813,026.57 | 195 |
| Michigan | $2.23 | 1,117,625 | $2,496,730.93 | 204 |
| Minnesota | $8.63 | 192,837 | $1,665,009.68 | 223 |
| Mississippi | $3.67 | 405,451 | $1,489,810.42 | 253 |
| Missouri | $5.09 | 375,081 | $1,909,600.59 | 176 |
| Montana | $0.97 | 124,931 | $121,487.26 | 70 |
| Nebraska | $2.95 | 71,561 | $211,064.91 | 87 |
| Nevada | $2.68 | 366,248 | $983,224.62 | 84 |
| New Hampshire | $3.26 | 36,122 | $117,717.36 | 29 |
| New Jersey | $2.33 | 2,785,928 | $6,479,802.45 | 210 |
| New Mexico | $9.01 | 296,057 | $2,666,360.60 | 91 |
| New York | $2.64 | 1,681,333 | $4,443,860.01 | 513 |
| North Carolina | $5.20 | 1,878,936 | $9,777,805.30 | 340 |
| North Dakota | $5.31 | 30,225 | $160,537.06 | 31 |
| Ohio | $3.27 | 2,418,037 | $7,903,871.03 | 311 |
| Oklahoma | $6.27 | 183,601 | $1,151,880.00 | 129 |
| Oregon | $4.48 | 433,869 | $1,943,381.79 | 112 |
| Pennsylvania | $4.55 | 783,497 | $3,565,415.91 | 271 |
| Puerto Rico | $7.39 | 950,841 | $7,023,975.92 | 697 |
| Rhode Island | $38.29 | 75,470 | $2,889,564.86 | 99 |
| South Carolina | $2.04 | 376,134 | $768,166.08 | 204 |
| South Dakota | $6.52 | 40,116 | $261,727.71 | 63 |
| Tennessee | $3.81 | 734,835 | $2,799,370.28 | 264 |
| Texas | $5.36 | 1,454,108 | $7,799,778.49 | 665 |
| U.S. Virgin Islands | $7.12 | 10,045 | $71,493.47 | 11 |
| Utah | $9.98 | 43,267 | $431,628.64 | 61 |
| Vermont | $6.05 | 4,163 | $25,177.39 | 12 |
| Virginia | $1.77 | 809,959 | $1,433,744.23 | 227 |
| Washington | $4.16 | 853,835 | $3,553,372.84 | 163 |
| West Virginia | $6.18 | 284,808 | $1,758,708.70 | 79 |
| Wisconsin | $5.35 | 654,840 | $3,505,258.89 | 217 |
| Wyoming | $0.48 | 10,661 | $5,088.65 | 21 |