The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 75807. 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
46
Median % of Medicare
--
Rate range
$30.00 - $2,846.31
75807 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $82.40 | -- | -- | 2026 |
| Alabama | $106.77 | -- | -- | 2026 |
| Arkansas | $214.00 | -- | -- | 2026 |
| Arizona | $287.44 | -- | -- | 2020 |
| California | $138.48 | -- | -- | 2026 |
| Colorado | $176.91 | -- | -- | 2026 |
| Connecticut | $246.40 | -- | -- | 2026 |
| District of Columbia | $160.03 | -- | Not required | 2016 |
| Delaware | $49.88* | -- | -- | 2026 |
| Georgia | $259.63 | -- | -- | 2026 |
| Hawaii | $246.78 | -- | -- | 2025 |
| Iowa | $228.51 | -- | -- | 2024 |
| Idaho | $42.22* | -- | Not required | 2026 |
| Illinois | $88.98 | -- | -- | 2026 |
| Indiana | $290.39 | -- | -- | 2024 |
| Kansas | $387.39 | -- | -- | 2024 |
| Kentucky | $214.78 | -- | -- | 2026 |
| Louisiana | $155.24 | -- | -- | 2026 |
| Massachusetts | $38.55* | -- | -- | 2025 |
| Maine | $208.30 | -- | -- | 2026 |
| Michigan | $271.37 | -- | -- | 2026 |
| Minnesota | $194.26 | -- | -- | 2026 |
| Missouri | $2,846.31 | -- | Not required | 2026 |
| Mississippi | $2,543.75 | -- | -- | 2026 |
| Montana | $242.58 | -- | -- | 2026 |
| North Carolina | $233.00 | -- | -- | 2025 |
| North Dakota | $55.57* | -- | Not required | 2026 |
| Nebraska | $304.11 | -- | -- | 2026 |
| New Hampshire | $248.07 | -- | Not required | 2026 |
| New Jersey | $94.70 | -- | Not required | 2026 |
| New Mexico | $56.92 | -- | -- | 2016 |
| Nevada | $304.08 | -- | -- | 2024 |
| New York | $242.57 | -- | -- | 2026 |
| Ohio | $209.16 | -- | -- | 2018 |
| Oklahoma | $2,743.41 | -- | -- | 2026 |
| Oregon | $40.92* | -- | -- | 2026 |
| Rhode Island | $495.53 | -- | -- | 2026 |
| South Carolina | $38.55* | -- | -- | 2024 |
| Texas | $75.80* | -- | -- | 2025 |
| Utah | $49.16* | -- | Not required | 2026 |
| Virginia | $226.88 | -- | -- | 2009 |
| Vermont | $42.15 | -- | -- | 2026 |
| Washington | $30.00* | -- | -- | 2026 |
| Wisconsin | $295.68 | -- | -- | 2008 |
| West Virginia | $2,074.73 | -- | -- | 2026 |
| Wyoming | $44.60 | -- | -- | 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 75807?
46 state Medicaid programs publish a fee-for-service rate for 75807 (lymph vessel X-ray with dye, pelvis, both sides, reading), ranging from $30.00 in Washington to $2,846.31 in Missouri. The full table on this page lists every publishing state's current rate.
Which state pays the most for 75807?
Missouri publishes the highest Medicaid rate for 75807 at $2,846.31. Washington publishes the lowest at $30.00.
Does 75807 require prior authorization under Medicaid?
No publishing state flags 75807 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.