Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 43659. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
14
Median % of Medicare
--
Rate range
$509.06 - $5,449.73
43659 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $592.63 | -- | -- | 2026 |
| Arizona | $509.06* | -- | -- | 2000 |
| Florida | $787.84 | -- | Required | 2026 |
| Idaho | $846.30 | -- | Required | 2025 |
| Maine | $775.85 | -- | -- | 2026 |
| Michigan | $3,230.29 | -- | -- | 2026 |
| Missouri | $5,449.73 | -- | Not required | 2026 |
| Mississippi | $4,591.06 | -- | -- | 2026 |
| Montana | $1,306.56 | -- | -- | 2026 |
| New Mexico | $2,565.07 | -- | -- | 2026 |
| Rhode Island | $3,678.21 | -- | -- | 2026 |
| South Carolina | $822.23 | -- | -- | 2026 |
| Utah | $590.33* | -- | Not required | 2024 |
| Wisconsin | $2,331.37 | -- | -- | 2017 |
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
All 109 codes from 43191 to 43999 or every physician code by number.
Frequently asked questions
How much does Medicaid pay for 43659?
14 state Medicaid programs publish a fee-for-service rate for 43659 (unlisted laparoscopic stomach procedure), ranging from $509.06 in Arizona to $5,449.73 in Missouri. The full table on this page lists every publishing state's current rate.
Which state pays the most for 43659?
Missouri publishes the highest Medicaid rate for 43659 at $5,449.73. Arizona publishes the lowest at $509.06.
Does 43659 require prior authorization under Medicaid?
2 of the 14 publishing states flag 43659 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".