The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 38204. 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
11
Median % of Medicare
--
Rate range
$56.97 - $121.56
38204 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $102.86 | -- | -- | 2025 |
| Hawaii | $100.33 | -- | -- | 2025 |
| Kentucky | $81.93 | -- | -- | 2026 |
| Louisiana | $82.03 | -- | -- | 2026 |
| Massachusetts | $73.59 | -- | -- | 2025 |
| North Carolina | $80.37 | -- | -- | 2025 |
| New Hampshire | $56.97 | -- | Not required | 2026 |
| Nevada | $121.56 | -- | -- | 2024 |
| South Carolina | $67.05 | -- | -- | 2024 |
| Utah | $66.42* | -- | Not required | 2026 |
| West Virginia | $62.71 | -- | -- | 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 38204?
11 state Medicaid programs publish a fee-for-service rate for 38204 (donor search and cell acquisition management for transplant), ranging from $56.97 in New Hampshire to $121.56 in Nevada. The full table on this page lists every publishing state's current rate.
Which state pays the most for 38204?
Nevada publishes the highest Medicaid rate for 38204 at $121.56. New Hampshire publishes the lowest at $56.97.
Does 38204 require prior authorization under Medicaid?
No publishing state flags 38204 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.