The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 00580. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
11
Median % of Medicare
--
Rate range
$18.32 - $454.00
00580 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $32.12 | -- | -- | 2025 |
| California | $253.02 | -- | -- | 2026 |
| Colorado | $21.45 | -- | -- | 2026 |
| Delaware | $20.51 | -- | -- | 2026 |
| Hawaii | $22.80 | -- | -- | 2025 |
| Missouri | $259.60* | -- | Required | 2025 |
| Montana | $20.00 | -- | -- | 2026 |
| Oklahoma | $37.75 | -- | -- | 2026 |
| South Carolina | $18.32* | -- | -- | 2026 |
| Vermont | $363.00 | -- | -- | 2002 |
| West Virginia | $454.00 | -- | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related anesthesia codes
- 00100 - Anesthesia for salivary gland surgery
- 00102 - Anesthesia for cleft lip repair
- 00103 - Anesthesia for eyelid surgery (blepharoplasty)
- 00104 - Anesthesia for electroconvulsive therapy
- 00120 - Anesthesia for ear surgery, other
- 00124 - Anesthesia for ear exam (otoscopy)
- 00126 - Anesthesia for eardrum surgery (tympanotomy)
- 00140 - Anesthesia for eye surgery, other
Frequently asked questions
How much does Medicaid pay for 00580?
11 state Medicaid programs publish a fee-for-service rate for 00580 (anesthesia for heart or lung transplant), ranging from $18.32 in South Carolina to $454.00 in West Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for 00580?
West Virginia publishes the highest Medicaid rate for 00580 at $454.00. South Carolina publishes the lowest at $18.32.
Does 00580 require prior authorization under Medicaid?
1 of the 11 publishing states flag 00580 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".