The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 38225. 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
14
Median % of Medicare
--
Rate range
$60.98 - $99.37
38225 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $99.37 | -- | -- | 2025 |
| District of Columbia | $72.08 | -- | Not required | 2026 |
| Delaware | $81.32 | -- | -- | 2026 |
| Indiana | $89.64 | -- | Required | 2025 |
| Kentucky | $80.51 | -- | -- | 2026 |
| Minnesota | $60.98 | -- | Required | 2026 |
| New York | $75.02 | -- | -- | 2026 |
| Ohio | $72.61 | -- | -- | 2025 |
| Oklahoma | $75.62 | -- | -- | 2026 |
| Pennsylvania | $73.22 | -- | -- | 2025 |
| Texas | $77.52* | -- | -- | 2025 |
| Virginia | $72.34 | -- | -- | 2026 |
| Wisconsin | $69.98 | -- | -- | 2025 |
| West Virginia | $61.00 | -- | -- | 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 38225?
14 state Medicaid programs publish a fee-for-service rate for 38225 (cAR-T cell therapy, cell collection), ranging from $60.98 in Minnesota to $99.37 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for 38225?
Arizona publishes the highest Medicaid rate for 38225 at $99.37. Minnesota publishes the lowest at $60.98.
Does 38225 require prior authorization under Medicaid?
2 of the 14 publishing states flag 38225 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".