The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 48999. 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
10
Median % of Medicare
--
Rate range
$310.01 - $2,292.05
48999 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $964.07* | -- | -- | -- |
| Florida | $1,165.37 | -- | Required | 2026 |
| Hawaii | $400.67 | -- | -- | 2025 |
| Michigan | $378.37 | -- | -- | 2026 |
| Missouri | $638.34 | -- | Not required | 2026 |
| Mississippi | $537.76 | -- | -- | 2026 |
| Montana | $2,292.05 | -- | -- | 2026 |
| New Mexico | $310.01 | -- | -- | 2026 |
| Rhode Island | $434.21 | -- | -- | 2026 |
| South Carolina | $822.23 | -- | -- | 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 48999?
10 state Medicaid programs publish a fee-for-service rate for 48999 (unlisted pancreas procedure), ranging from $310.01 in New Mexico to $2,292.05 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 48999?
Montana publishes the highest Medicaid rate for 48999 at $2,292.05. New Mexico publishes the lowest at $310.01.
Does 48999 require prior authorization under Medicaid?
1 of the 10 publishing states flag 48999 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".