The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 76513. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
45
Median % of Medicare
85.4%
Rate range
$31.67 - $162.14
76513 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $124.90 | 163.3% | -- | 2026 |
| Alabama | $54.87 | -- | -- | 2026 |
| Arkansas | $74.80 | 97.8% | -- | 2026 |
| Arizona | $76.36 | 99.8% | -- | 2025 |
| California | $66.43 | 86.8% | -- | 2026 |
| Colorado | $79.34 | 103.7% | -- | 2026 |
| Connecticut | $60.36 | 78.9% | -- | 2015 |
| Delaware | $31.67* | 41.4% | -- | 2026 |
| Georgia | $83.45 | 109.1% | -- | 2026 |
| Hawaii | $49.61 | 64.9% | -- | 2025 |
| Iowa | $74.38 | 97.2% | -- | 2024 |
| Idaho | $61.91 | 80.9% | Not required | 2026 |
| Illinois | $63.59 | 83.1% | -- | 2024 |
| Indiana | $69.17 | 90.4% | -- | 2025 |
| Kansas | $59.89 | 78.3% | -- | 2024 |
| Kentucky | $69.95 | 91.4% | -- | 2026 |
| Louisiana | $59.36 | 77.6% | -- | 2026 |
| Massachusetts | $58.48 | 76.5% | -- | 2025 |
| Maine | $51.95 | 67.9% | -- | 2026 |
| Michigan | $48.78 | 63.8% | -- | 2026 |
| Minnesota | $59.69 | 78% | -- | 2026 |
| Missouri | $53.92 | 70.5% | Not required | 2022 |
| Mississippi | $61.66 | 80.6% | -- | 2026 |
| Montana | $101.26 | 132.4% | -- | 2026 |
| North Carolina | $65.35 | 85.4% | -- | 2025 |
| North Dakota | $85.61 | 111.9% | Not required | 2026 |
| Nebraska | $162.14 | 212% | -- | 2026 |
| New Hampshire | $67.85 | 88.7% | Not required | 2026 |
| New Jersey | $39.19 | 51.2% | Not required | 2026 |
| New Mexico | $88.88 | 116.2% | -- | 2023 |
| Nevada | $106.23 | 138.9% | -- | 2024 |
| New York | $67.53 | 88.3% | -- | 2026 |
| Ohio | $67.68 | 88.5% | -- | 2018 |
| Oklahoma | $65.77 | 86% | -- | 2026 |
| Oregon | $62.21* | 81.3% | -- | 2026 |
| Rhode Island | $143.69 | -- | -- | 2026 |
| South Carolina | $53.76 | 70.3% | -- | 2024 |
| Texas | $60.14* | 78.6% | -- | 2025 |
| Utah | $71.52* | 93.5% | Not required | 2026 |
| Virginia | $66.26 | 86.6% | -- | 2026 |
| Vermont | $64.53 | 84.4% | -- | 2026 |
| Washington | $47.20 | 61.7% | -- | 2026 |
| Wisconsin | $80.98 | 105.9% | -- | 2010 |
| West Virginia | $50.51 | 66% | -- | 2026 |
| Wyoming | $64.77 | 84.7% | -- | 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 76513?
45 state Medicaid programs publish a fee-for-service rate for 76513 (eye ultrasound, front of the eye (biomicroscopy)), ranging from $31.67 in Delaware to $162.14 in Nebraska, with a median of 85.4% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 76513?
Nebraska publishes the highest Medicaid rate for 76513 at $162.14 (212% of the national Medicare amount). Delaware publishes the lowest at $31.67.
Does 76513 require prior authorization under Medicaid?
No publishing state flags 76513 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.