42699 Medicaid Rate by State

Unlisted salivary gland procedure

10 state Medicaid programs publish a fee-for-service rate for 42699 (unlisted salivary gland procedure), ranging from $40.45 in Arizona to $983.15 in Montana.

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This page shows one representative rate per state for 42699. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

10

Median % of Medicare

--

Rate range

$40.45 - $983.15

42699 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$40.45*------
Idaho$847.20--Not required2025
Maine$132.98----2026
Michigan$126.56----2026
Missouri$213.51--Not required2026
Mississippi$179.87----2026
Montana$983.15----2026
New Mexico$77.67----2026
Rhode Island$107.86----2026
South Carolina$293.65----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

Frequently asked questions

How much does Medicaid pay for 42699?

10 state Medicaid programs publish a fee-for-service rate for 42699 (unlisted salivary gland procedure), ranging from $40.45 in Arizona to $983.15 in Montana. The full table on this page lists every publishing state's current rate.

Which state pays the most for 42699?

Montana publishes the highest Medicaid rate for 42699 at $983.15. Arizona publishes the lowest at $40.45.

Does 42699 require prior authorization under Medicaid?

No publishing state flags 42699 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.