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
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
21
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 |
| 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
Frequently asked questions
How much does Medicaid pay for 01996?
21 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.