The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 48160. 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
$1,436.85 - $3,027.89
48160 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Connecticut | $1,436.85 | -- | -- | 2008 |
| Idaho | $1,748.93 | -- | Required | 2025 |
| Illinois | $2,332.67 | -- | -- | 2026 |
| Indiana | $2,543.34 | -- | Required | 2025 |
| Kentucky | $1,660.49 | -- | -- | 2026 |
| Louisiana | $1,778.01 | -- | -- | 2026 |
| Maine | $1,891.10 | -- | -- | 2026 |
| Minnesota | $2,101.11 | -- | Required | 2026 |
| North Carolina | $2,271.71 | -- | -- | 2025 |
| New Jersey | $2,000.00 | -- | Not required | 2026 |
| New Mexico | $1,653.75 | -- | -- | 2025 |
| Nevada | $3,027.89 | -- | -- | 2024 |
| Texas | $1,457.61* | -- | -- | 2024 |
| Wisconsin | $1,948.89 | -- | -- | 2008 |
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 48160?
14 state Medicaid programs publish a fee-for-service rate for 48160 (pancreas removal with islet cell transplant), ranging from $1,436.85 in Connecticut to $3,027.89 in Nevada. The full table on this page lists every publishing state's current rate.
Which state pays the most for 48160?
Nevada publishes the highest Medicaid rate for 48160 at $3,027.89. Connecticut publishes the lowest at $1,436.85.
Does 48160 require prior authorization under Medicaid?
3 of the 14 publishing states flag 48160 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".