The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 77013. 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
45
Median % of Medicare
--
Rate range
$52.73 - $819.56
77013 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $284.58 | -- | -- | 2026 |
| Alabama | $127.00* | -- | -- | 2026 |
| Arkansas | $584.41 | -- | -- | 2026 |
| Arizona | $599.11 | -- | -- | 2020 |
| California | $160.82 | -- | -- | 2026 |
| Colorado | $154.17 | -- | Required | 2026 |
| Connecticut | $512.30 | -- | -- | 2026 |
| District of Columbia | $153.47* | -- | Not required | 2026 |
| Delaware | $172.78* | -- | -- | 2026 |
| Georgia | $514.75 | -- | -- | 2026 |
| Iowa | $52.73 | -- | -- | 2024 |
| Idaho | $146.22* | -- | Not required | 2026 |
| Illinois | $227.39 | -- | -- | 2026 |
| Indiana | $543.28 | -- | -- | 2024 |
| Kansas | $244.72 | -- | -- | 2024 |
| Kentucky | $173.27* | -- | -- | 2026 |
| Louisiana | $383.63 | -- | -- | 2026 |
| Massachusetts | $133.76* | -- | -- | 2025 |
| Maine | $374.37 | -- | -- | 2026 |
| Michigan | $392.81 | -- | -- | 2026 |
| Minnesota | $372.82 | -- | -- | 2026 |
| Missouri | $257.53 | -- | Not required | 2019 |
| Mississippi | $326.73 | -- | -- | 2026 |
| Montana | $819.56 | -- | -- | 2026 |
| North Carolina | $466.92 | -- | -- | 2025 |
| North Dakota | $193.00* | -- | Not required | 2026 |
| Nebraska | $630.25 | -- | -- | 2026 |
| New Hampshire | $448.33 | -- | Required | 2026 |
| New Jersey | $148.63 | -- | Not required | 2026 |
| New Mexico | $766.63 | -- | -- | 2025 |
| Nevada | $685.47 | -- | -- | 2024 |
| New York | $377.04 | -- | -- | 2026 |
| Ohio | $379.52 | -- | -- | 2018 |
| Oklahoma | $353.38 | -- | -- | 2026 |
| Oregon | $141.82* | -- | -- | 2026 |
| Rhode Island | $413.69 | -- | -- | 2026 |
| South Carolina | $133.49* | -- | -- | 2024 |
| Texas | $369.73* | -- | -- | 2026 |
| Utah | $170.17* | -- | Not required | 2026 |
| Virginia | $153.36* | -- | -- | 2007 |
| Vermont | $146.10 | -- | -- | 2026 |
| Washington | $575.43 | -- | -- | 2026 |
| Wisconsin | $158.65* | -- | -- | 2008 |
| West Virginia | $387.18 | -- | -- | 2026 |
| Wyoming | $155.90 | -- | -- | 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 77013?
45 state Medicaid programs publish a fee-for-service rate for 77013 (cT guidance for tissue ablation), ranging from $52.73 in Iowa to $819.56 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 77013?
Montana publishes the highest Medicaid rate for 77013 at $819.56. Iowa publishes the lowest at $52.73.
Does 77013 require prior authorization under Medicaid?
2 of the 45 publishing states flag 77013 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".