The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 63043. 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
34
Median % of Medicare
--
Rate range
$152.79 - $646.93
63043 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $173.00 | -- | -- | 2026 |
| Arkansas | $298.10 | -- | -- | 2026 |
| Arizona | $196.40 | -- | -- | 2020 |
| California | $258.75 | -- | -- | 2026 |
| Colorado | $392.13 | -- | Required | 2026 |
| Connecticut | $314.81 | -- | -- | 2008 |
| Iowa | $207.00 | -- | -- | 2024 |
| Idaho | $253.93 | -- | Required | 2025 |
| Indiana | $252.45 | -- | -- | 2024 |
| Kansas | $418.54 | -- | -- | 2009 |
| Kentucky | $283.74 | -- | -- | 2026 |
| Louisiana | $233.80 | -- | -- | 2026 |
| Maine | $307.21 | -- | -- | 2026 |
| Michigan | $191.17 | -- | -- | 2026 |
| Minnesota | $421.20 | -- | -- | 2026 |
| Missouri | $493.54 | -- | Not required | 2017 |
| Mississippi | $466.67 | -- | -- | 2026 |
| Montana | $328.42 | -- | -- | 2026 |
| North Carolina | $228.38 | -- | -- | 2025 |
| Nebraska | $518.70 | -- | -- | 2026 |
| New Jersey | $232.33 | -- | Not required | 2026 |
| New Mexico | $248.22 | -- | -- | 2025 |
| Nevada | $646.93 | -- | -- | 2024 |
| New York | $152.79 | -- | -- | 2026 |
| Ohio | $236.49 | -- | -- | 2013 |
| Oklahoma | $496.16 | -- | -- | 2026 |
| South Carolina | $153.42 | -- | -- | 2017 |
| Texas | $484.24* | -- | -- | 2025 |
| Utah | $287.45* | -- | Not required | 2024 |
| Virginia | $164.18 | -- | -- | 2009 |
| Washington | $372.45 | -- | -- | 2026 |
| Wisconsin | $365.56 | -- | -- | 2008 |
| West Virginia | $250.77 | -- | -- | 2026 |
| Wyoming | $242.24 | -- | -- | 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 63043?
34 state Medicaid programs publish a fee-for-service rate for 63043 (repeat neck disc surgery, each added level (add-on)), ranging from $152.79 in New York to $646.93 in Nevada. The full table on this page lists every publishing state's current rate.
Which state pays the most for 63043?
Nevada publishes the highest Medicaid rate for 63043 at $646.93. New York publishes the lowest at $152.79.
Does 63043 require prior authorization under Medicaid?
2 of the 34 publishing states flag 63043 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".