The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 33940. 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
11
Median % of Medicare
--
Rate range
$400.00 - $3,495.26
33940 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $542.24 | -- | -- | 2026 |
| District of Columbia | $2,000.00 | -- | Required | 1987 |
| Idaho | $1,585.10 | -- | Not required | 2025 |
| Illinois | $1,166.34 | -- | -- | 2026 |
| Indiana | $3,495.26 | -- | -- | 2025 |
| Kansas | $2,000.00 | -- | -- | 1989 |
| Kentucky | $3,000.00 | -- | -- | 2026 |
| Nebraska | $1,556.10 | -- | -- | 2026 |
| New Jersey | $400.00 | -- | Not required | 2026 |
| New Mexico | $549.43 | -- | -- | 2025 |
| Wisconsin | $2,331.37 | -- | -- | 2008 |
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 33940?
11 state Medicaid programs publish a fee-for-service rate for 33940 (donor heart removal for transplant), ranging from $400.00 in New Jersey to $3,495.26 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 33940?
Indiana publishes the highest Medicaid rate for 33940 at $3,495.26. New Jersey publishes the lowest at $400.00.
Does 33940 require prior authorization under Medicaid?
1 of the 11 publishing states flag 33940 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".