The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 33999. 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
12
Median % of Medicare
--
Rate range
$200.00 - $2,803.66
33999 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $2,803.66* | -- | -- | -- |
| District of Columbia | $200.00 | -- | Not required | 1986 |
| Hawaii | $971.74 | -- | -- | 2025 |
| Idaho | $2,143.57 | -- | Not required | 2025 |
| Maine | $1,071.99 | -- | -- | 2026 |
| Michigan | $335.19 | -- | -- | 2026 |
| Missouri | $565.48 | -- | Not required | 2026 |
| Mississippi | $476.38 | -- | -- | 2026 |
| Montana | $2,487.55 | -- | -- | 2026 |
| New Mexico | $374.24 | -- | -- | 2026 |
| Rhode Island | $517.84 | -- | -- | 2026 |
| South Carolina | $1,339.05 | -- | -- | 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 33999?
12 state Medicaid programs publish a fee-for-service rate for 33999 (unlisted heart surgery procedure), ranging from $200.00 in District of Columbia to $2,803.66 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for 33999?
Arizona publishes the highest Medicaid rate for 33999 at $2,803.66. District of Columbia publishes the lowest at $200.00.
Does 33999 require prior authorization under Medicaid?
No publishing state flags 33999 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.