The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 70542. Full schedules include every locality, modifier, and age-band variant.
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Publishing states
47
Median % of Medicare
97%
Rate range
$136.96 - $628.12
70542 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $424.64 | 159.3% | -- | 2026 |
| Alabama | $474.61 | -- | -- | 2026 |
| Arkansas | $576.05 | 216.1% | -- | 2026 |
| Arizona | $277.54 | 104.1% | -- | 2025 |
| California | $264.84 | 99.4% | -- | 2026 |
| Colorado | $538.60 | 202.1% | Required | 2026 |
| Connecticut | $312.10 | 117.1% | Required | 2015 |
| District of Columbia | $245.76 | 92.2% | Not required | 2026 |
| Delaware | $258.63 | 97% | -- | 2026 |
| Georgia | $574.82 | 215.7% | -- | 2026 |
| Hawaii | $183.90 | 69% | -- | 2025 |
| Iowa | $446.64 | 167.6% | -- | 2024 |
| Idaho | $214.10 | 80.3% | Not required | 2026 |
| Illinois | $246.77 | 92.6% | -- | 2024 |
| Indiana | $252.54 | 94.8% | -- | 2025 |
| Kansas | $222.88 | 83.6% | -- | 2024 |
| Kentucky | $399.60 | 149.9% | Required | 2026 |
| Louisiana | $376.08 | 141.1% | -- | 2026 |
| Massachusetts | $425.84 | 159.8% | -- | 2025 |
| Maine | $179.80 | 67.5% | -- | 2026 |
| Michigan | $169.97 | 63.8% | -- | 2026 |
| Minnesota | $207.89 | 78% | -- | 2026 |
| Missouri | $300.32 | 112.7% | Required | 2022 |
| Mississippi | $212.74 | 79.8% | -- | 2026 |
| Montana | $369.09 | 138.5% | -- | 2026 |
| North Carolina | $472.84 | 177.4% | -- | 2025 |
| North Dakota | $297.01 | 111.4% | Not required | 2026 |
| Nebraska | $575.56 | 215.9% | -- | 2026 |
| New Hampshire | $250.15 | 93.9% | Required | 2026 |
| New Jersey | $136.96 | 51.4% | Not required | 2026 |
| New Mexico | $354.44 | 133% | -- | 2017 |
| Nevada | $458.83 | 172.1% | -- | 2024 |
| New York | $384.07 | 144.1% | -- | 2026 |
| Ohio | $265.25 | 99.5% | -- | 2024 |
| Oklahoma | $227.48 | 85.3% | -- | 2026 |
| Oregon | $216.53* | 81.2% | -- | 2026 |
| Pennsylvania | $382.66 | 143.6% | -- | 2010 |
| Rhode Island | $628.12 | -- | -- | 2026 |
| South Carolina | $196.43 | 73.7% | -- | 2024 |
| Texas | $221.33* | 83% | -- | 2025 |
| Utah | $248.24* | 93.1% | Not required | 2026 |
| Virginia | $230.90 | 86.6% | -- | 2026 |
| Vermont | $224.33 | 84.2% | -- | 2026 |
| Washington | $165.30 | 62% | -- | 2026 |
| Wisconsin | $487.93 | 183.1% | -- | 2010 |
| West Virginia | $175.19 | 65.7% | -- | 2026 |
| Wyoming | $235.95 | 88.5% | -- | 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 lab & imaging codes
- 70030 - X-ray of the eye for a foreign body
- 70100 - Jaw (mandible) X-ray, up to 3 views
- 70110 - Jaw (mandible) X-ray, 4 or more views
- 70120 - X-ray of the mastoids, under 3 views per side
- 70130 - X-ray of the mastoids, complete
- 70134 - X-ray of the inner ear canals, complete
- 70140 - Facial bone X-ray, under 3 views
- 70150 - Facial bone X-ray, complete, 3 or more views
Frequently asked questions
How much does Medicaid pay for 70542?
47 state Medicaid programs publish a fee-for-service rate for 70542 (mRI of the eye socket, face or neck with contrast), ranging from $136.96 in New Jersey to $628.12 in Rhode Island, with a median of 97% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 70542?
Rhode Island publishes the highest Medicaid rate for 70542 at $628.12. New Jersey publishes the lowest at $136.96.
Does 70542 require prior authorization under Medicaid?
5 of the 47 publishing states flag 70542 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".