The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 29086. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
46
Median % of Medicare
75%
Rate range
$24.70 - $133.30
29086 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $133.30 | 161.6% | -- | 2026 |
| Alabama | $35.00 | 42.4% | -- | 2026 |
| Arkansas | $61.88 | 75% | -- | 2026 |
| Arizona | $86.01 | 104.3% | -- | 2024 |
| California | $71.48 | 86.6% | -- | 2026 |
| Colorado | $65.25 | 79.1% | -- | 2026 |
| Connecticut | $50.31 | 61% | -- | 2026 |
| District of Columbia | $75.67 | 91.7% | Not required | 2026 |
| Delaware | $80.07 | 97.1% | -- | 2026 |
| Hawaii | $52.54 | 63.7% | -- | 2025 |
| Iowa | $43.49 | 52.7% | -- | 2024 |
| Idaho | $66.32 | 80.4% | Not required | 2026 |
| Illinois | $32.25 | 39.1% | -- | 2024 |
| Indiana | $72.73 | 88.2% | -- | 2026 |
| Kansas | $53.48 | 64.8% | -- | 2024 |
| Kentucky | $40.50 | 49.1% | -- | 2026 |
| Louisiana | $61.12 | 74.1% | -- | 2026 |
| Massachusetts | $59.70 | 72.4% | -- | 2025 |
| Maine | $55.76 | 67.6% | -- | 2026 |
| Michigan | $52.61 | 63.8% | -- | 2026 |
| Minnesota | $63.81 | 77.3% | Conditional | 2026 |
| Missouri | $56.69 | 68.7% | Not required | 2022 |
| Mississippi | $66.25 | 80.3% | -- | 2026 |
| Montana | $109.39 | 132.6% | -- | 2026 |
| North Carolina | $49.19 | 59.6% | -- | 2025 |
| North Dakota | $91.62 | 111.1% | Not required | 2026 |
| Nebraska | $59.28 | 71.9% | -- | 2026 |
| New Hampshire | $35.74 | 43.3% | Not required | 2026 |
| New Jersey | $54.24 | 65.7% | Not required | 2026 |
| New Mexico | $108.96 | 132.1% | -- | 2025 |
| Nevada | $62.09 | 75.3% | -- | 2024 |
| New York | $68.08 | 82.5% | -- | 2026 |
| Ohio | $70.79 | 85.8% | -- | 2016 |
| Oklahoma | $70.75 | 85.8% | -- | 2026 |
| Oregon | $66.88* | 81.1% | -- | 2026 |
| Pennsylvania | $40.46 | 49% | -- | 2010 |
| Rhode Island | $105.29 | -- | -- | 2026 |
| South Carolina | $51.20 | 62.1% | -- | 2024 |
| Texas | $64.42* | 78.1% | -- | 2026 |
| Utah | $61.77* | 74.9% | Not required | 2026 |
| Virginia | $71.47 | 86.6% | -- | 2026 |
| Vermont | $69.21 | 83.9% | -- | 2026 |
| Washington | $50.83 | 61.6% | -- | 2026 |
| Wisconsin | $24.70 | 29.9% | -- | 2022 |
| West Virginia | $54.66 | 66.3% | -- | 2026 |
| Wyoming | $69.79 | 84.6% | -- | 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 29086?
46 state Medicaid programs publish a fee-for-service rate for 29086 (finger cast application), ranging from $24.70 in Wisconsin to $133.30 in Alaska, with a median of 75% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 29086?
Alaska publishes the highest Medicaid rate for 29086 at $133.30 (161.6% of the national Medicare amount). Wisconsin publishes the lowest at $24.70.
Does 29086 require prior authorization under Medicaid?
1 of the 46 publishing states flag 29086 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".