The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 76390. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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- Full state Medicaid dental network lists
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Publishing states
34
Median % of Medicare
--
Rate range
$29.38 - $817.44
76390 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $636.45 | -- | -- | 2026 |
| Arkansas | $46.53* | -- | -- | 2026 |
| Arizona | $403.60 | -- | -- | 2022 |
| Colorado | $413.73 | -- | Required | 2026 |
| Connecticut | $307.87 | -- | Required | 2018 |
| District of Columbia | $390.02 | -- | Not required | 2022 |
| Georgia | $444.06 | -- | -- | 2026 |
| Hawaii | $424.53 | -- | -- | 2025 |
| Iowa | $388.97 | -- | -- | 2024 |
| Idaho | $308.08 | -- | Not required | 2025 |
| Illinois | $288.59 | -- | -- | 2026 |
| Indiana | $321.12 | -- | -- | 2025 |
| Kentucky | $351.96 | -- | Required | 2026 |
| Louisiana | $346.27 | -- | -- | 2026 |
| Massachusetts | $368.70 | -- | -- | 2025 |
| Maine | $300.25 | -- | -- | 2026 |
| Minnesota | $277.11 | -- | Required | 2026 |
| Missouri | $29.38 | -- | Not required | 2022 |
| Mississippi | $160.27 | -- | -- | 2026 |
| Montana | $48.98 | -- | -- | 2026 |
| New Hampshire | $331.05 | -- | Required | 2026 |
| New Jersey | $280.00 | -- | Not required | 2026 |
| New Mexico | $520.52 | -- | -- | 2025 |
| Nevada | $493.30 | -- | -- | 2024 |
| Ohio | $357.78 | -- | -- | 2018 |
| Rhode Island | $576.19 | -- | -- | 2026 |
| South Carolina | $318.55 | -- | -- | 2019 |
| Texas | $335.26* | -- | -- | 2025 |
| Virginia | $351.88 | -- | -- | 2026 |
| Vermont | $330.94 | -- | -- | 2026 |
| Washington | $243.14 | -- | -- | 2026 |
| Wisconsin | $817.44 | -- | -- | 2009 |
| West Virginia | $107.80* | -- | -- | 2026 |
| Wyoming | $267.36 | -- | -- | 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 76390?
34 state Medicaid programs publish a fee-for-service rate for 76390 (mR spectroscopy), ranging from $29.38 in Missouri to $817.44 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for 76390?
Wisconsin publishes the highest Medicaid rate for 76390 at $817.44. Missouri publishes the lowest at $29.38.
Does 76390 require prior authorization under Medicaid?
5 of the 34 publishing states flag 76390 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".