The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 38226. 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
12
Median % of Medicare
--
Rate range
$24.40 - $40.10
38226 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $40.10 | -- | -- | 2025 |
| District of Columbia | $29.12 | -- | Not required | 2026 |
| Delaware | $32.89 | -- | -- | 2026 |
| Indiana | $36.34 | -- | Required | 2025 |
| Kentucky | $32.49 | -- | -- | 2026 |
| Minnesota | $24.70 | -- | Required | 2026 |
| Ohio | $29.27 | -- | -- | 2025 |
| Oklahoma | $30.60 | -- | -- | 2026 |
| Texas | $31.27* | -- | -- | 2025 |
| Virginia | $29.22 | -- | -- | 2026 |
| Wisconsin | $28.42 | -- | -- | 2025 |
| West Virginia | $24.40 | -- | -- | 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 38226?
12 state Medicaid programs publish a fee-for-service rate for 38226 (cAR-T cell therapy, cell preparation for shipping), ranging from $24.40 in West Virginia to $40.10 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for 38226?
Arizona publishes the highest Medicaid rate for 38226 at $40.10. West Virginia publishes the lowest at $24.40.
Does 38226 require prior authorization under Medicaid?
2 of the 12 publishing states flag 38226 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".