The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 76499. 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
14
Median % of Medicare
--
Rate range
$38.00 - $709.50
76499 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $38.00 | -- | -- | 2026 |
| Arkansas | $39.64 | -- | -- | 2026 |
| Arizona | $58.65 | -- | -- | 2021 |
| District of Columbia | $200.00 | -- | Not required | 2018 |
| Hawaii | $66.48 | -- | -- | 2025 |
| Maine | $709.50 | -- | -- | 2026 |
| Michigan | $46.50 | -- | -- | 2026 |
| Missouri | $78.45 | -- | Not required | 2026 |
| Mississippi | $66.09 | -- | -- | 2026 |
| Montana | $363.35 | -- | -- | 2026 |
| New Mexico | $59.34 | -- | -- | 2026 |
| Rhode Island | $62.33 | -- | -- | 2026 |
| South Carolina | $123.22 | -- | -- | 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 76499?
14 state Medicaid programs publish a fee-for-service rate for 76499 (unlisted X-ray procedure), ranging from $38.00 in Alabama to $709.50 in Maine. The full table on this page lists every publishing state's current rate.
Which state pays the most for 76499?
Maine publishes the highest Medicaid rate for 76499 at $709.50. Alabama publishes the lowest at $38.00.
Does 76499 require prior authorization under Medicaid?
No publishing state flags 76499 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.