The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 58300. 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
47
Median % of Medicare
--
Rate range
$17.25 - $365.00
58300 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $179.04 | -- | -- | 2026 |
| Alabama | $97.00 | -- | -- | 2026 |
| Arkansas | $101.20 | -- | -- | 2026 |
| Arizona | $117.55 | -- | -- | 2022 |
| California | $168.22 | -- | -- | 2026 |
| Colorado | $58.65 | -- | -- | 2026 |
| Connecticut | $78.49 | -- | -- | 2026 |
| District of Columbia | $96.03 | -- | Not required | 2026 |
| Delaware | $102.42 | -- | -- | 2026 |
| Florida | $34.70 | -- | -- | 2026 |
| Georgia | $62.48 | -- | -- | 2026 |
| Hawaii | $50.40 | -- | -- | 2025 |
| Iowa | $62.77 | -- | -- | 2024 |
| Idaho | $57.02 | -- | Not required | 2025 |
| Illinois | $85.62 | -- | -- | 2014 |
| Indiana | $101.08 | -- | -- | 2025 |
| Kansas | $55.00 | -- | -- | 1987 |
| Kentucky | $59.25 | -- | -- | 2026 |
| Louisiana | $50.77 | -- | -- | 2026 |
| Massachusetts | $288.45 | -- | -- | 2025 |
| Maine | $71.41 | -- | -- | 2026 |
| Michigan | $27.90 | -- | -- | 2026 |
| Minnesota | $80.79 | -- | -- | 2026 |
| Missouri | $166.75 | -- | Not required | 2022 |
| Mississippi | $85.48 | -- | -- | 2026 |
| Montana | $154.86 | -- | -- | 2026 |
| North Carolina | $59.14 | -- | -- | 2025 |
| North Dakota | $116.03 | -- | Not required | 2026 |
| Nebraska | $111.14 | -- | -- | 2026 |
| New Hampshire | $42.70 | -- | Not required | 2026 |
| New Jersey | $220.18 | -- | Not required | 2026 |
| New Mexico | $314.04 | -- | -- | 2023 |
| Nevada | $61.63 | -- | -- | 2024 |
| New York | $49.49 | -- | -- | 2026 |
| Ohio | $57.97 | -- | -- | 2024 |
| Oklahoma | $91.12 | -- | -- | 2026 |
| Pennsylvania | $17.25 | -- | -- | 2014 |
| Rhode Island | $31.44 | -- | -- | 2026 |
| South Carolina | $72.09 | -- | -- | 2024 |
| Texas | $105.55* | -- | -- | 2026 |
| Utah | $79.30* | -- | Required | 2026 |
| Virginia | $107.16* | -- | -- | 2026 |
| Vermont | $87.89 | -- | -- | 2026 |
| Washington | $363.40 | -- | -- | 2026 |
| Wisconsin | $365.00 | -- | -- | 2024 |
| West Virginia | $71.25 | -- | -- | 2026 |
| Wyoming | $68.65* | -- | -- | 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
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
- 10060 - Drainage of a skin abscess, simple
- 10061 - Drainage of a skin abscess, complicated or multiple
- 10120 - Removal of a foreign body from tissue, simple
- 10140 - Drainage of a blood or fluid collection under the skin
- 11042 - Wound debridement, skin and tissue below, first 20 sq cm
- 11043 - Wound debridement to muscle, first 20 sq cm
- 11044 - Wound debridement to bone, first 20 sq cm
Frequently asked questions
How much does Medicaid pay for 58300?
47 state Medicaid programs publish a fee-for-service rate for 58300 (iUD insertion), ranging from $17.25 in Pennsylvania to $365.00 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for 58300?
Wisconsin publishes the highest Medicaid rate for 58300 at $365.00. Pennsylvania publishes the lowest at $17.25.
Does 58300 require prior authorization under Medicaid?
1 of the 47 publishing states flag 58300 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".