Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 01996. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
22
Median % of Medicare
--
Rate range
$13.87 - $117.79
01996 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $29.00 | -- | -- | 2026 |
| Arizona | $32.12 | -- | -- | 2025 |
| California | $37.97 | -- | -- | 2026 |
| Colorado | $14.28 | -- | -- | 2026 |
| Delaware | $48.15 | -- | -- | 2026 |
| Florida | $49.39 | -- | -- | 2026 |
| Hawaii | $27.32 | -- | -- | 2025 |
| Iowa | $37.48 | -- | -- | 2024 |
| Illinois | $13.87 | -- | -- | 2026 |
| Kentucky | $87.06 | -- | -- | 2026 |
| Maine | $42.90 | -- | -- | 2026 |
| Minnesota | $33.74 | -- | -- | 2000 |
| Missouri | $26.75 | -- | Not required | 2019 |
| Montana | $117.79 | -- | -- | 2026 |
| North Carolina | $38.93 | -- | -- | 2025 |
| Oklahoma | $113.22 | -- | -- | 2026 |
| South Carolina | $66.93* | -- | -- | 2026 |
| Texas | $27.80* | -- | -- | 2017 |
| Vermont | $46.66 | -- | -- | 2002 |
| Washington | $25.80 | -- | -- | 2026 |
| West Virginia | $68.10 | -- | -- | 2026 |
| Wyoming | $59.40 | -- | -- | 2021 |
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
All 125 codes from 01112 to 01996 or every anesthesia code by number.
Frequently asked questions
How much does Medicaid pay for 01996?
22 state Medicaid programs publish a fee-for-service rate for 01996 (daily management of an epidural or spinal drug infusion), ranging from $13.87 in Illinois to $117.79 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 01996?
Montana publishes the highest Medicaid rate for 01996 at $117.79. Illinois publishes the lowest at $13.87.
Does 01996 require prior authorization under Medicaid?
No publishing state flags 01996 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.