64999 Medicaid Rate by State

Unlisted nervous system procedure

13 state Medicaid programs publish a fee-for-service rate for 64999 (unlisted nervous system procedure), ranging from $164.01 in Michigan to $3,640.00 in Kentucky.

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This page shows one representative rate per state for 64999. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

13

Median % of Medicare

--

Rate range

$164.01 - $3,640.00

64999 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$189.35----2021
District of Columbia$1,500.00--Not required1978
Hawaii$932.99----2025
Idaho$621.90--Required2025
Kentucky$3,640.00--Required2026
Maine$176.00----2026
Michigan$164.01----2026
Missouri$276.70--Not required2026
Mississippi$233.10----2026
Montana$721.69----2026
New Mexico$172.28----2026
Rhode Island$241.44----2026
South Carolina$293.65----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 64999?

13 state Medicaid programs publish a fee-for-service rate for 64999 (unlisted nervous system procedure), ranging from $164.01 in Michigan to $3,640.00 in Kentucky. The full table on this page lists every publishing state's current rate.

Which state pays the most for 64999?

Kentucky publishes the highest Medicaid rate for 64999 at $3,640.00. Michigan publishes the lowest at $164.01.

Does 64999 require prior authorization under Medicaid?

2 of the 13 publishing states flag 64999 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".