The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 32855. 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
$120.02 - $3,112.20
32855 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $198.41 | -- | -- | 2020 |
| Colorado | $2,484.72 | -- | -- | 2026 |
| Connecticut | $155.84 | -- | -- | 2026 |
| Iowa | $189.91 | -- | -- | 2024 |
| Idaho | $155.16 | -- | Required | 2025 |
| Indiana | $294.80 | -- | Required | 2024 |
| Michigan | $180.07 | -- | -- | 2026 |
| Minnesota | $191.94 | -- | -- | 2026 |
| Nebraska | $3,112.20 | -- | -- | 2026 |
| New Jersey | $175.13 | -- | Not required | 2026 |
| New Mexico | $383.13 | -- | -- | 2025 |
| Ohio | $120.02 | -- | -- | 2013 |
| Texas | $285.61* | -- | -- | 2024 |
| Washington | $194.26 | -- | -- | 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 32855?
14 state Medicaid programs publish a fee-for-service rate for 32855 (donor lung preparation before transplant, one lung), ranging from $120.02 in Ohio to $3,112.20 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 32855?
Nebraska publishes the highest Medicaid rate for 32855 at $3,112.20. Ohio publishes the lowest at $120.02.
Does 32855 require prior authorization under Medicaid?
2 of the 14 publishing states flag 32855 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".