The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 43881. 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
17
Median % of Medicare
--
Rate range
$298.66 - $2,148.90
43881 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $1,345.93 | -- | Required | 2026 |
| Connecticut | $575.68 | -- | -- | 2026 |
| Iowa | $298.66 | -- | -- | 2024 |
| Illinois | $583.17 | -- | -- | 2007 |
| Indiana | $839.03 | -- | -- | 2024 |
| Maine | $523.82 | -- | -- | 2026 |
| Michigan | $748.09 | -- | -- | 2026 |
| Minnesota | $473.68 | -- | Required | 2026 |
| Montana | $1,306.56 | -- | -- | 2026 |
| Nebraska | $2,148.90 | -- | -- | 2026 |
| New Jersey | $353.24 | -- | Not required | 2026 |
| New Mexico | $725.13 | -- | -- | 2025 |
| New York | $504.41 | -- | -- | 2026 |
| Ohio | $351.59 | -- | -- | 2013 |
| Oklahoma | $557.63 | -- | -- | 2026 |
| Texas | $553.25* | -- | -- | 2024 |
| West Virginia | $567.59 | -- | -- | 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 43881?
17 state Medicaid programs publish a fee-for-service rate for 43881 (open stomach stimulator lead placement), ranging from $298.66 in Iowa to $2,148.90 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 43881?
Nebraska publishes the highest Medicaid rate for 43881 at $2,148.90. Iowa publishes the lowest at $298.66.
Does 43881 require prior authorization under Medicaid?
2 of the 17 publishing states flag 43881 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".