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
- Full state Medicaid dental 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
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".