The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 34842. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
23
Median % of Medicare
--
Rate range
$548.00 - $2,642.79
34842 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $548.00 | -- | -- | 2026 |
| Arizona | $1,518.87 | -- | -- | 2020 |
| Connecticut | $1,106.29 | -- | -- | 2026 |
| Iowa | $1,039.40 | -- | -- | 2024 |
| Idaho | $1,216.23 | -- | Not required | 2025 |
| Illinois | $1,101.24 | -- | -- | 2014 |
| Indiana | $1,254.56 | -- | Required | 2024 |
| Kansas | $815.82 | -- | -- | 2024 |
| Louisiana | $1,921.06 | -- | -- | 2026 |
| Maine | $1,334.93 | -- | -- | 2026 |
| Michigan | $811.62 | -- | -- | 2026 |
| Minnesota | $1,115.91 | -- | -- | 2026 |
| Montana | $1,524.86 | -- | -- | 2026 |
| North Carolina | $573.02 | -- | -- | 2025 |
| Nebraska | $1,482.00 | -- | -- | 2026 |
| New Jersey | $1,166.76 | -- | Not required | 2026 |
| New Mexico | $2,564.59 | -- | -- | 2025 |
| New York | $1,177.21 | -- | -- | 2026 |
| Ohio | $1,175.71 | -- | -- | 2019 |
| Oklahoma | $2,642.79 | -- | -- | 2026 |
| Texas | $1,823.55* | -- | -- | 2024 |
| Washington | $1,483.51 | -- | -- | 2026 |
| West Virginia | $1,048.98 | -- | -- | 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 34842?
23 state Medicaid programs publish a fee-for-service rate for 34842 (branched aortic stent graft (organ arteries), 2 branches), ranging from $548.00 in Alabama to $2,642.79 in Oklahoma. The full table on this page lists every publishing state's current rate.
Which state pays the most for 34842?
Oklahoma publishes the highest Medicaid rate for 34842 at $2,642.79. Alabama publishes the lowest at $548.00.
Does 34842 require prior authorization under Medicaid?
1 of the 23 publishing states flag 34842 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".