The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 76496. 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
16
Median % of Medicare
--
Rate range
$42.68 - $205.55
76496 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $58.65 | -- | -- | 2021 |
| Colorado | $93.68 | -- | -- | 2026 |
| Connecticut | $102.81* | -- | -- | 2015 |
| Idaho | $177.12 | -- | Not required | 2025 |
| Indiana | $42.68* | -- | -- | 2025 |
| Massachusetts | $68.50* | -- | -- | 2025 |
| Michigan | $46.50 | -- | -- | 2026 |
| Missouri | $78.45 | -- | Not required | 2026 |
| Mississippi | $66.26* | -- | -- | 2026 |
| Montana | $205.55 | -- | -- | 2026 |
| New Mexico | $159.47 | -- | -- | 2026 |
| Ohio | $75.98 | -- | -- | 2018 |
| Oklahoma | $74.25 | -- | -- | 2026 |
| Rhode Island | $122.30 | -- | -- | 2026 |
| South Carolina | $63.85 | -- | -- | 2026 |
| Texas | $109.09* | -- | -- | 2025 |
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 76496?
16 state Medicaid programs publish a fee-for-service rate for 76496 (unlisted fluoroscopy procedure), ranging from $42.68 in Indiana to $205.55 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 76496?
Montana publishes the highest Medicaid rate for 76496 at $205.55. Indiana publishes the lowest at $42.68.
Does 76496 require prior authorization under Medicaid?
No publishing state flags 76496 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.