The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 61641. 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
22
Median % of Medicare
--
Rate range
$93.45 - $738.27
61641 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $317.22 | -- | -- | 2026 |
| Arkansas | $276.63 | -- | -- | 2026 |
| Colorado | $231.96 | -- | -- | 2026 |
| Connecticut | $357.49 | -- | -- | 2008 |
| District of Columbia | $139.50 | -- | Not required | 2026 |
| Delaware | $159.81 | -- | -- | 2026 |
| Hawaii | $155.15 | -- | -- | 2025 |
| Iowa | $418.52 | -- | -- | 2024 |
| Kansas | $738.27 | -- | -- | 2006 |
| Kentucky | $177.40 | -- | -- | 2026 |
| Massachusetts | $117.81 | -- | -- | 2025 |
| Maine | $113.58 | -- | -- | 2026 |
| North Dakota | $171.60 | -- | Not required | 2026 |
| Nebraska | $281.58 | -- | -- | 2026 |
| Nevada | $263.72 | -- | -- | 2024 |
| Oklahoma | $150.41 | -- | -- | 2026 |
| Utah | $127.42* | -- | Not required | 2026 |
| Virginia | $142.36 | -- | -- | 2026 |
| Vermont | $130.89 | -- | -- | 2026 |
| Washington | $93.45 | -- | -- | 2026 |
| West Virginia | $123.95 | -- | -- | 2026 |
| Wyoming | $216.72 | -- | -- | 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 61641?
22 state Medicaid programs publish a fee-for-service rate for 61641 (balloon treatment of brain artery spasm, added, same family), ranging from $93.45 in Washington to $738.27 in Kansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for 61641?
Kansas publishes the highest Medicaid rate for 61641 at $738.27. Washington publishes the lowest at $93.45.
Does 61641 require prior authorization under Medicaid?
No publishing state flags 61641 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.