The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 49906. 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
26
Median % of Medicare
--
Rate range
$273.71 - $4,329.62
49906 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $4,017.33 | -- | -- | 2020 |
| Colorado | $2,085.21 | -- | -- | 2026 |
| District of Columbia | $571.00 | -- | Not required | 1997 |
| Iowa | $1,470.72 | -- | -- | 2024 |
| Idaho | $1,258.88 | -- | Not required | 2025 |
| Illinois | $1,271.37 | -- | -- | 2026 |
| Kansas | $2,915.33 | -- | -- | 2009 |
| Louisiana | $282.98 | -- | -- | 2026 |
| Maine | $296.94 | -- | -- | 2026 |
| Michigan | $1,249.87 | -- | -- | 2026 |
| Minnesota | $1,158.87 | -- | -- | 2026 |
| Missouri | $1,454.91 | -- | Not required | 2022 |
| Mississippi | $1,668.31 | -- | -- | 2026 |
| Montana | $415.74 | -- | -- | 2026 |
| Nebraska | $2,371.20 | -- | -- | 2026 |
| New Hampshire | $273.71 | -- | Not required | 2026 |
| New Jersey | $700.82 | -- | Not required | 2026 |
| New Mexico | $298.45 | -- | -- | 2025 |
| Nevada | $4,329.62 | -- | -- | 2024 |
| New York | $1,043.76 | -- | -- | 2026 |
| Oklahoma | $1,687.69 | -- | -- | 2026 |
| Texas | $1,664.79* | -- | -- | 2024 |
| Virginia | $455.35 | -- | -- | 2009 |
| Washington | $1,600.72 | -- | -- | 2026 |
| Wisconsin | $1,148.54 | -- | -- | 2008 |
| Wyoming | $1,926.38 | -- | -- | 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 49906?
26 state Medicaid programs publish a fee-for-service rate for 49906 (free omentum flap with microsurgery), ranging from $273.71 in New Hampshire to $4,329.62 in Nevada. The full table on this page lists every publishing state's current rate.
Which state pays the most for 49906?
Nevada publishes the highest Medicaid rate for 49906 at $4,329.62. New Hampshire publishes the lowest at $273.71.
Does 49906 require prior authorization under Medicaid?
No publishing state flags 49906 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.