The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 63047. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
47
Median % of Medicare
85.7%
Rate range
$619.74 - $5,510.47
63047 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $1,766.83 | 165.8% | -- | 2026 |
| Alabama | $823.00 | 77.2% | -- | 2026 |
| Arkansas | $1,807.85 | 169.7% | -- | 2026 |
| Arizona | $1,574.25 | 147.8% | -- | 2025 |
| California | $912.88 | 85.7% | -- | 2026 |
| Colorado | $1,032.52 | 96.9% | Required | 2026 |
| Connecticut | $707.12 | 66.4% | -- | 2026 |
| District of Columbia | $945.98 | 88.8% | Not required | 2026 |
| Delaware | $1,025.81 | 96.3% | -- | 2026 |
| Georgia | $975.66 | 91.6% | -- | 2026 |
| Hawaii | $1,112.96 | 104.5% | -- | 2025 |
| Iowa | $886.03 | 83.2% | -- | 2024 |
| Idaho | $818.59 | 76.8% | Required | 2026 |
| Illinois | $1,093.19 | 102.6% | -- | 2024 |
| Indiana | $983.55 | 92.3% | -- | 2025 |
| Kansas | $824.31 | 77.4% | -- | 2024 |
| Kentucky | $921.29 | 86.5% | -- | 2026 |
| Louisiana | $903.62 | 84.8% | -- | 2026 |
| Massachusetts | $824.41 | 77.4% | -- | 2025 |
| Maine | $703.53 | 66% | -- | 2026 |
| Michigan | $679.47 | 63.8% | -- | 2026 |
| Minnesota | $741.28 | 69.6% | -- | 2026 |
| Missouri | $830.95 | 78% | Varies | 2022 |
| Mississippi | $5,510.47 | -- | -- | 2026 |
| Montana | $1,532.27 | 143.8% | -- | 2026 |
| North Carolina | $793.25 | 74.5% | -- | 2025 |
| North Dakota | $1,088.93 | 102.2% | Not required | 2026 |
| Nebraska | $2,593.50 | 243.4% | -- | 2026 |
| New Hampshire | $857.70 | 80.5% | Not required | 2026 |
| New Jersey | $893.18 | 83.8% | Not required | 2026 |
| New Mexico | $1,632.17 | 153.2% | -- | 2025 |
| Nevada | $1,344.87 | 126.2% | -- | 2024 |
| New York | $1,041.24 | 97.7% | -- | 2026 |
| Ohio | $860.78 | 80.8% | -- | 2000 |
| Oklahoma | $928.07 | 87.1% | -- | 2026 |
| Oregon | $828.28* | 77.7% | -- | 2026 |
| Pennsylvania | $951.59 | 89.3% | -- | 2012 |
| Rhode Island | $4,718.73 | -- | -- | 2026 |
| South Carolina | $733.58 | 68.9% | -- | 2024 |
| Texas | $898.41* | 84.3% | -- | 2025 |
| Utah | $804.42* | 75.5% | Required | 2026 |
| Virginia | $923.03* | 86.6% | -- | 2026 |
| Vermont | $834.95 | 78.4% | -- | 2026 |
| Washington | $619.74 | 58.2% | -- | 2026 |
| Wisconsin | $1,097.28 | 103% | -- | 2018 |
| West Virginia | $783.73 | 73.6% | -- | 2026 |
| Wyoming | $948.54 | 89% | -- | 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
- 10080 - Drainage of a pilonidal cyst, simple
- 10081 - Drainage of a pilonidal cyst, complicated
- 10120 - Removal of a foreign body from tissue, simple
- 10121 - Removal of a foreign body from skin, complicated
- 10140 - Drainage of a blood or fluid collection under the skin
Frequently asked questions
How much does Medicaid pay for 63047?
47 state Medicaid programs publish a fee-for-service rate for 63047 (removal of bone to relieve lower-spine nerve pressure), ranging from $619.74 in Washington to $5,510.47 in Mississippi, with a median of 85.7% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 63047?
Mississippi publishes the highest Medicaid rate for 63047 at $5,510.47. Washington publishes the lowest at $619.74.
Does 63047 require prior authorization under Medicaid?
3 of the 47 publishing states flag 63047 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".