Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 48551. 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
15
Median % of Medicare
--
Rate range
$122.39 - $2,667.60
48551 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $244.73 | -- | -- | 2020 |
| Colorado | $2,345.85 | -- | -- | 2026 |
| Connecticut | $129.34 | -- | -- | 2026 |
| Iowa | $196.00 | -- | -- | 2024 |
| Indiana | $249.42 | -- | Required | 2024 |
| Michigan | $142.66 | -- | -- | 2026 |
| Minnesota | $168.01 | -- | -- | 2026 |
| Montana | $288.20 | -- | Required | 2026 |
| Nebraska | $2,667.60 | -- | -- | 2026 |
| New Jersey | $146.65 | -- | Not required | 2026 |
| New Mexico | $288.85 | -- | -- | 2025 |
| Ohio | $122.39 | -- | -- | 2013 |
| Texas | $219.31* | -- | -- | 2024 |
| Washington | $240.36 | -- | -- | 2026 |
| Wisconsin | $208.88 | -- | -- | 2009 |
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 15 codes from 48020 to 48999 or every physician code by number.
Frequently asked questions
How much does Medicaid pay for 48551?
15 state Medicaid programs publish a fee-for-service rate for 48551 (donor pancreas preparation before transplant), ranging from $122.39 in Ohio to $2,667.60 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 48551?
Nebraska publishes the highest Medicaid rate for 48551 at $2,667.60. Ohio publishes the lowest at $122.39.
Does 48551 require prior authorization under Medicaid?
2 of the 15 publishing states flag 48551 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".