65757 Medicaid Rate by State

Donor cornea inner-layer graft preparation (add-on)

17 state Medicaid programs publish a fee-for-service rate for 65757 (donor cornea inner-layer graft preparation (add-on)), ranging from $40.22 in Michigan to $739.12 in Alabama.

Every state, kept current

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This page shows one representative rate per state for 65757. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

17

Median % of Medicare

--

Rate range

$40.22 - $739.12

65757 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$739.12----2026
Arizona$155.63----2020
Colorado$235.45----2026
Connecticut$63.55----2026
Iowa$50.94----2024
Indiana$93.13----2024
Maine$113.70----2026
Michigan$40.22----2026
Minnesota$73.58----2026
Montana$481.83----2026
New Jersey$162.84--Not required2026
New Mexico$137.73----2025
Ohio$102.78----2019
Oklahoma$105.79----2026
Texas$184.17*----2020
Washington$110.87----2026
Wisconsin$106.18----2018

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

All 38 codes from 65091 to 65930 or every physician code by number.

Frequently asked questions

How much does Medicaid pay for 65757?

17 state Medicaid programs publish a fee-for-service rate for 65757 (donor cornea inner-layer graft preparation (add-on)), ranging from $40.22 in Michigan to $739.12 in Alabama. The full table on this page lists every publishing state's current rate.

Which state pays the most for 65757?

Alabama publishes the highest Medicaid rate for 65757 at $739.12. Michigan publishes the lowest at $40.22.

Does 65757 require prior authorization under Medicaid?

No publishing state flags 65757 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.