How Much Does Medicaid Pay for Sars-cov-2 covid19 w/optic?
HCPCS 87811 Year 2024
State-by-State Reimbursement Rates
| State | Avg / Claim | Total Claims | Total Paid | Providers |
|---|---|---|---|---|
| Alabama | $18.21 | 157,170 | $2,862,630.87 | 196 |
| Alaska | $28.49 | 295 | $8,403.53 | 4 |
| Arizona | $16.73 | 11,527 | $192,813.48 | 43 |
| Arkansas | $29.90 | 14,968 | $447,609.95 | 46 |
| California | $22.91 | 452,348 | $10,362,026.62 | 297 |
| Colorado | $22.81 | 11,478 | $261,834.81 | 52 |
| Connecticut | $27.35 | 40,163 | $1,098,623.70 | 37 |
| Delaware | $3.90 | 1,260 | $4,913.63 | 7 |
| Florida | $25.13 | 26,691 | $670,817.83 | 88 |
| Georgia | $23.14 | 19,012 | $440,001.08 | 23 |
| Guam | $32.18 | 396 | $12,745.04 | 2 |
| Hawaii | $23.08 | 357 | $8,240.06 | 3 |
| Idaho | $35.28 | 1,635 | $57,679.39 | 3 |
| Illinois | $36.33 | 115,723 | $4,204,077.65 | 291 |
| Indiana | $28.54 | 44,491 | $1,269,912.00 | 77 |
| Iowa | $24.38 | 8,782 | $214,110.37 | 25 |
| Kansas | $27.98 | 3,860 | $107,998.55 | 12 |
| Kentucky | $28.04 | 105,764 | $2,965,588.63 | 142 |
| Louisiana | $19.16 | 276,037 | $5,288,197.28 | 172 |
| Maine | $22.98 | 3,508 | $80,620.72 | 10 |
| Maryland | $26.48 | 70,504 | $1,867,111.48 | 51 |
| Massachusetts | $24.37 | 19,181 | $467,483.04 | 56 |
| Michigan | $29.60 | 39,567 | $1,171,133.04 | 130 |
| Minnesota | $26.56 | 1,109 | $29,457.94 | 10 |
| Mississippi | $15.76 | 58,595 | $923,400.20 | 71 |
| Missouri | $24.38 | 6,513 | $158,765.24 | 20 |
| Montana | $8.48 | 772 | $6,545.70 | 6 |
| Nebraska | $34.02 | 982 | $33,404.14 | 8 |
| Nevada | $18.09 | 4,268 | $77,220.84 | 23 |
| New Hampshire | $17.97 | 86 | $1,545.65 | 2 |
| New Jersey | $15.36 | 68,997 | $1,059,985.93 | 115 |
| New Mexico | $37.29 | 10,236 | $381,710.39 | 26 |
| New York | $13.44 | 225,833 | $3,035,695.10 | 143 |
| North Carolina | $30.08 | 124,752 | $3,752,431.12 | 101 |
| Ohio | $30.70 | 60,527 | $1,858,292.03 | 67 |
| Oklahoma | $35.10 | 69,202 | $2,429,109.43 | 73 |
| Oregon | $24.43 | 2,920 | $71,344.14 | 19 |
| Pennsylvania | $21.19 | 26,227 | $555,713.59 | 186 |
| Puerto Rico | $13.48 | 5,433 | $73,261.03 | 10 |
| Rhode Island | $35.05 | 8,050 | $282,161.10 | 15 |
| South Carolina | $33.98 | 57,635 | $1,958,549.38 | 38 |
| South Dakota | $30.74 | 173 | $5,318.32 | 4 |
| Tennessee | $28.92 | 285,559 | $8,257,079.38 | 159 |
| Texas | $32.94 | 323,145 | $10,645,795.20 | 341 |
| U.S. Virgin Islands | $38.62 | 45 | $1,737.96 | 1 |
| Utah | $28.21 | 973 | $27,446.93 | 6 |
| Vermont | $39.20 | 19 | $744.84 | 1 |
| Virginia | $32.73 | 51,673 | $1,691,475.98 | 61 |
| Washington | $21.78 | 4,947 | $107,754.32 | 24 |
| West Virginia | $22.39 | 33,602 | $752,492.21 | 48 |
| Wisconsin | $32.26 | 3,196 | $103,116.64 | 13 |
| Wyoming | $33.45 | 463 | $15,486.99 | 4 |