58752 Medicaid Rate by State

Fallopian tube implantation into the uterus

16 state Medicaid programs publish a fee-for-service rate for 58752 (fallopian tube implantation into the uterus), ranging from $542.65 in Maine to $1,430.13 in Alaska, with a median of 87.3% of the national Medicare amount.

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This page shows one representative rate per state for 58752. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

16

Median % of Medicare

87.3%

Rate range

$542.65 - $1,430.13

58752 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alaska$1,430.13178.9%--2026
Arkansas$826.10103.4%--2026
Connecticut$562.8270.4%Required2026
District of Columbia$698.0887.3%Not required2026
Hawaii$916.62114.7%--2025
Iowa$670.4583.9%--2024
Massachusetts$675.9884.6%--2025
Maine$542.6567.9%--2026
Minnesota$571.7271.5%--2026
Nebraska$1,407.90176.2%--2026
Nevada$1,038.78130%--2024
Oklahoma$712.2789.1%--2026
Oregon$628.85*78.7%--2026
Virginia$811.51*101.5%--2026
Vermont$639.5880%--2026
West Virginia$585.3673.2%--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

Frequently asked questions

How much does Medicaid pay for 58752?

16 state Medicaid programs publish a fee-for-service rate for 58752 (fallopian tube implantation into the uterus), ranging from $542.65 in Maine to $1,430.13 in Alaska, with a median of 87.3% of the national Medicare amount. The full table on this page lists every publishing state's current rate.

Which state pays the most for 58752?

Alaska publishes the highest Medicaid rate for 58752 at $1,430.13 (178.9% of the national Medicare amount). Maine publishes the lowest at $542.65.

Does 58752 require prior authorization under Medicaid?

1 of the 16 publishing states flag 58752 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".