How Much Does Medicaid Pay for Culture screen only?
HCPCS 87081 Year 2024
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Providers |
|---|---|---|---|---|
| Alabama | $5.63 | 70,455 | $396,449.75 | 30 |
| Alaska | $371.43 | 2,037 | $756,610.92 | 7 |
| Arizona | $1.90 | 71,965 | $136,921.83 | 30 |
| Arkansas | $8.34 | 16,226 | $135,402.01 | 32 |
| California | $2.65 | 282,500 | $749,285.86 | 287 |
| Colorado | $5.59 | 16,106 | $89,978.39 | 16 |
| Connecticut | $2.79 | 10,430 | $29,081.72 | 23 |
| Delaware | $25.61 | 1,587 | $40,647.82 | 2 |
| District of Columbia | $1.04 | 97 | $100.70 | 1 |
| Florida | $2.67 | 114,274 | $305,113.65 | 70 |
| Georgia | $6.59 | 24,362 | $160,484.61 | 10 |
| Hawaii | $13.21 | 2,125 | $28,069.88 | 5 |
| Idaho | $4.15 | 15 | $62.24 | 1 |
| Illinois | $3.77 | 71,634 | $269,920.51 | 83 |
| Indiana | $5.40 | 5,799 | $31,327.31 | 21 |
| Iowa | $6.04 | 17,382 | $104,962.73 | 17 |
| Kansas | $4.88 | 23,454 | $114,408.18 | 12 |
| Kentucky | $6.62 | 29,386 | $194,414.03 | 36 |
| Louisiana | $4.77 | 17,247 | $82,350.38 | 39 |
| Maine | $1.21 | 11,010 | $13,330.68 | 20 |
| Maryland | $4.73 | 13,151 | $62,146.21 | 14 |
| Massachusetts | $5.16 | 75,790 | $391,446.85 | 60 |
| Michigan | $2.43 | 56,603 | $137,674.66 | 74 |
| Minnesota | $5.40 | 1,656 | $8,937.69 | 13 |
| Mississippi | $5.00 | 9,766 | $48,786.13 | 23 |
| Missouri | $5.47 | 18,307 | $100,112.01 | 35 |
| Montana | $1.73 | 4,089 | $7,064.25 | 17 |
| Nebraska | $6.36 | 626 | $3,984.32 | 4 |
| Nevada | $1.81 | 7,970 | $14,451.69 | 6 |
| New Hampshire | $5.36 | 295 | $1,581.73 | 6 |
| New Jersey | $2.61 | 213,487 | $556,571.06 | 46 |
| New Mexico | $10.35 | 11,746 | $121,557.03 | 22 |
| New York | $4.81 | 136,953 | $659,156.08 | 169 |
| North Carolina | $4.03 | 210,395 | $848,658.03 | 58 |
| Ohio | $5.55 | 145,513 | $807,118.89 | 92 |
| Oklahoma | $6.16 | 12,794 | $78,833.77 | 18 |
| Oregon | $7.17 | 10,485 | $75,174.04 | 20 |
| Pennsylvania | $5.02 | 63,264 | $317,736.70 | 59 |
| Puerto Rico | $6.40 | 1,762 | $11,277.25 | 7 |
| Rhode Island | $53.57 | 1,053 | $56,413.28 | 7 |
| South Carolina | $27.23 | 25,084 | $683,095.47 | 31 |
| South Dakota | $5.26 | 476 | $2,504.57 | 2 |
| Tennessee | $4.19 | 25,813 | $108,108.08 | 34 |
| Texas | $4.53 | 184,760 | $836,344.70 | 100 |
| Utah | $3.37 | 4,328 | $14,578.81 | 7 |
| Vermont | $0.00 | 100 | $0.00 | 1 |
| Virginia | $2.74 | 48,826 | $133,541.27 | 55 |
| Washington | $6.36 | 45,572 | $289,936.21 | 48 |
| West Virginia | $5.59 | 15,731 | $87,983.68 | 15 |
| Wisconsin | $8.70 | 35,724 | $310,849.52 | 53 |