The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 61642. 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
21
Median % of Medicare
--
Rate range
$187.09 - $738.27
61642 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $634.45 | -- | -- | 2026 |
| Colorado | $451.87 | -- | -- | 2026 |
| Connecticut | $357.49 | -- | -- | 2008 |
| District of Columbia | $278.99 | -- | Not required | 2026 |
| Delaware | $319.61 | -- | -- | 2026 |
| Hawaii | $310.31 | -- | -- | 2025 |
| Iowa | $418.52 | -- | -- | 2024 |
| Kansas | $738.27 | -- | -- | 2006 |
| Kentucky | $354.58 | -- | -- | 2026 |
| Massachusetts | $235.63 | -- | -- | 2025 |
| Maine | $227.17 | -- | -- | 2026 |
| North Dakota | $343.20 | -- | Not required | 2026 |
| Nebraska | $370.50 | -- | -- | 2026 |
| Nevada | $526.53 | -- | -- | 2024 |
| Oklahoma | $300.83 | -- | -- | 2026 |
| Utah | $254.84* | -- | Not required | 2026 |
| Virginia | $284.72 | -- | -- | 2026 |
| Vermont | $261.78 | -- | -- | 2026 |
| Washington | $187.09 | -- | -- | 2026 |
| West Virginia | $248.39 | -- | -- | 2026 |
| Wyoming | $433.44 | -- | -- | 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 61642?
21 state Medicaid programs publish a fee-for-service rate for 61642 (balloon treatment of brain artery spasm, added, other family), ranging from $187.09 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 61642?
Kansas publishes the highest Medicaid rate for 61642 at $738.27. Washington publishes the lowest at $187.09.
Does 61642 require prior authorization under Medicaid?
No publishing state flags 61642 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.