The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 37216. 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
38
Median % of Medicare
--
Rate range
$504.50 - $1,842.85
37216 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $1,842.85 | -- | -- | 2026 |
| Alabama | $698.25 | -- | -- | 2026 |
| Arkansas | $1,297.54 | -- | -- | 2026 |
| Arizona | $1,003.47 | -- | -- | 2025 |
| California | $588.23 | -- | -- | 2026 |
| Colorado | $863.41 | -- | -- | 2026 |
| Connecticut | $602.12 | -- | -- | 2008 |
| District of Columbia | $748.89 | -- | Not required | 2026 |
| Delaware | $836.74 | -- | -- | 2026 |
| Georgia | $917.13 | -- | -- | 2026 |
| Hawaii | $991.06 | -- | -- | 2025 |
| Iowa | $862.13 | -- | -- | 2024 |
| Idaho | $1,039.64 | -- | Not required | 2025 |
| Illinois | $886.11 | -- | -- | 2026 |
| Kansas | $858.80 | -- | -- | 2023 |
| Kentucky | $785.20 | -- | -- | 2026 |
| Louisiana | $772.39 | -- | -- | 2026 |
| Massachusetts | $723.24 | -- | -- | 2025 |
| Maine | $593.09 | -- | -- | 2026 |
| Minnesota | $632.95 | -- | -- | 2026 |
| Missouri | $743.46 | -- | Varies | 2022 |
| North Carolina | $817.22 | -- | -- | 2025 |
| North Dakota | $924.84 | -- | Not required | 2026 |
| Nebraska | $1,237.46 | -- | -- | 2026 |
| New Hampshire | $697.69 | -- | Not required | 2026 |
| New Jersey | $899.14 | -- | Not required | 2026 |
| New Mexico | $1,406.33 | -- | -- | 2025 |
| Nevada | $1,230.91 | -- | -- | 2024 |
| New York | $593.31 | -- | -- | 2026 |
| Oklahoma | $772.43 | -- | -- | 2026 |
| South Carolina | $651.72 | -- | -- | 2024 |
| Texas | $775.18* | -- | -- | 2024 |
| Virginia | $744.79 | -- | -- | 2026 |
| Vermont | $701.91 | -- | -- | 2026 |
| Washington | $504.50 | -- | -- | 2026 |
| Wisconsin | $928.13 | -- | -- | 2008 |
| West Virginia | $619.03 | -- | -- | 2026 |
| Wyoming | $997.34 | -- | -- | 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 37216?
38 state Medicaid programs publish a fee-for-service rate for 37216 (carotid artery stent, no embolic protection), ranging from $504.50 in Washington to $1,842.85 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 37216?
Alaska publishes the highest Medicaid rate for 37216 at $1,842.85. Washington publishes the lowest at $504.50.
Does 37216 require prior authorization under Medicaid?
No publishing state flags 37216 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.