The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 21499. 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
10
Median % of Medicare
--
Rate range
$77.67 - $3,000.00
21499 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $3,000.00 | -- | -- | 2026 |
| Arizona | $153.41 | -- | -- | 2021 |
| Kentucky | $172.25 | -- | Required | 2026 |
| Maine | $360.38 | -- | -- | 2026 |
| Michigan | $126.56 | -- | -- | 2026 |
| Missouri | $213.51 | -- | Not required | 2026 |
| Mississippi | $179.87 | -- | -- | 2026 |
| New Mexico | $77.67 | -- | -- | 2026 |
| Rhode Island | $107.86 | -- | -- | 2026 |
| South Carolina | $822.23 | -- | -- | 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 physician codes
- 10004 - Needle biopsy without imaging, each added lesion
- 10005 - Needle biopsy with ultrasound guidance, first lesion
- 10006 - Needle biopsy with ultrasound guidance, each added lesion
- 10007 - Needle biopsy with fluoroscopic guidance, first lesion
- 10009 - Needle biopsy with CT guidance, first lesion
- 10011 - Needle biopsy with MRI guidance, first lesion
- 10012 - Needle biopsy with MRI guidance, each added lesion
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
Frequently asked questions
How much does Medicaid pay for 21499?
10 state Medicaid programs publish a fee-for-service rate for 21499 (unlisted head bone or joint procedure), ranging from $77.67 in New Mexico to $3,000.00 in Alabama. The full table on this page lists every publishing state's current rate.
Which state pays the most for 21499?
Alabama publishes the highest Medicaid rate for 21499 at $3,000.00. New Mexico publishes the lowest at $77.67.
Does 21499 require prior authorization under Medicaid?
1 of the 10 publishing states flag 21499 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".