The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 01969. 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
14
Median % of Medicare
--
Rate range
$5.00 - $275.00
01969 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $32.12 | -- | -- | 2025 |
| California | $77.11 | -- | -- | 2026 |
| Colorado | $21.45 | -- | -- | 2026 |
| Delaware | $20.51 | -- | -- | 2026 |
| Hawaii | $22.80 | -- | -- | 2025 |
| Kentucky | $25.00 | -- | -- | 2026 |
| Missouri | $64.90* | -- | Not required | 2025 |
| Mississippi | $275.00 | -- | -- | 2020 |
| Montana | $5.00 | -- | -- | 2026 |
| Nevada | $177.70 | -- | -- | -- |
| Oklahoma | $37.75 | -- | -- | 2026 |
| South Carolina | $18.32* | -- | -- | 2026 |
| Vermont | $90.75 | -- | -- | 2003 |
| West Virginia | $113.50 | -- | -- | 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 01969?
14 state Medicaid programs publish a fee-for-service rate for 01969 (anesthesia for cesarean hysterectomy after labor epidural), ranging from $5.00 in Montana to $275.00 in Mississippi. The full table on this page lists every publishing state's current rate.
Which state pays the most for 01969?
Mississippi publishes the highest Medicaid rate for 01969 at $275.00. Montana publishes the lowest at $5.00.
Does 01969 require prior authorization under Medicaid?
No publishing state flags 01969 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.