The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 76941. 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
$29/mo after the trial. Cancel anytime.
Publishing states
46
Median % of Medicare
--
Rate range
$47.54 - $288.07
76941 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $102.15 | -- | -- | 2026 |
| Alabama | $53.38 | -- | -- | 2026 |
| Arkansas | $94.68 | -- | -- | 2026 |
| Arizona | $73.89 | -- | -- | 2020 |
| California | $112.96 | -- | -- | 2026 |
| Colorado | $115.70 | -- | -- | 2026 |
| Connecticut | $106.47 | -- | -- | 2026 |
| District of Columbia | $69.00 | -- | Not required | 2016 |
| Delaware | $62.65* | -- | -- | 2026 |
| Georgia | $114.22 | -- | -- | 2026 |
| Hawaii | $105.32 | -- | -- | 2025 |
| Iowa | $103.27 | -- | -- | 2024 |
| Idaho | $53.22* | -- | Not required | 2026 |
| Illinois | $75.24 | -- | -- | 2024 |
| Indiana | $129.06 | -- | -- | 2024 |
| Kansas | $123.61 | -- | -- | 2024 |
| Kentucky | $99.46 | -- | -- | 2026 |
| Louisiana | $86.61 | -- | -- | 2026 |
| Massachusetts | $47.54* | -- | -- | 2025 |
| Maine | $87.50 | -- | -- | 2026 |
| Michigan | $84.82 | -- | -- | 2026 |
| Minnesota | $90.56 | -- | -- | 2026 |
| Missouri | $115.44 | -- | Not required | 2022 |
| Mississippi | $93.11 | -- | -- | 2026 |
| Montana | $288.07 | -- | -- | 2026 |
| North Carolina | $97.67 | -- | -- | 2025 |
| North Dakota | $70.59* | -- | Not required | 2026 |
| Nebraska | $90.16* | -- | -- | 2026 |
| New Hampshire | $99.28 | -- | Not required | 2026 |
| New Jersey | $57.00 | -- | Not required | 2026 |
| New Mexico | $75.47 | -- | -- | 2023 |
| Nevada | $135.31 | -- | -- | 2024 |
| New York | $102.10 | -- | -- | 2026 |
| Ohio | $93.18 | -- | -- | 2018 |
| Oklahoma | $99.45 | -- | -- | 2026 |
| Oregon | $51.70* | -- | -- | 2026 |
| Rhode Island | $89.40 | -- | -- | 2026 |
| South Carolina | $106.43 | -- | -- | 2011 |
| Texas | $56.51* | -- | -- | 2025 |
| Utah | $61.50* | -- | Not required | 2026 |
| Virginia | $98.56 | -- | -- | 2009 |
| Vermont | $53.46 | -- | -- | 2026 |
| Washington | $67.88 | -- | -- | 2026 |
| Wisconsin | $129.64 | -- | -- | 2010 |
| West Virginia | $105.99 | -- | -- | 2026 |
| Wyoming | $54.80 | -- | -- | 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 76941?
46 state Medicaid programs publish a fee-for-service rate for 76941 (ultrasound guidance for fetal transfusion or cord sampling), ranging from $47.54 in Massachusetts to $288.07 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 76941?
Montana publishes the highest Medicaid rate for 76941 at $288.07. Massachusetts publishes the lowest at $47.54.
Does 76941 require prior authorization under Medicaid?
No publishing state flags 76941 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.