The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 01939. 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
10
Median % of Medicare
--
Rate range
$4.00 - $115.24
01939 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $32.12 | -- | -- | 2025 |
| Colorado | $21.45 | -- | -- | 2026 |
| Delaware | $20.51 | -- | -- | 2026 |
| Florida | $115.24 | -- | -- | 2026 |
| Missouri | $51.92* | -- | Not required | 2025 |
| Montana | $4.00 | -- | -- | 2026 |
| Oklahoma | $37.75 | -- | -- | 2026 |
| South Carolina | $18.32* | -- | -- | 2026 |
| Vermont | $72.60 | -- | -- | 2022 |
| West Virginia | $90.80 | -- | -- | 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 01939?
10 state Medicaid programs publish a fee-for-service rate for 01939 (anesthesia for lower back spine injection, diagnostic), ranging from $4.00 in Montana to $115.24 in Florida. The full table on this page lists every publishing state's current rate.
Which state pays the most for 01939?
Florida publishes the highest Medicaid rate for 01939 at $115.24. Montana publishes the lowest at $4.00.
Does 01939 require prior authorization under Medicaid?
No publishing state flags 01939 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.