The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 77014. 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
12
Median % of Medicare
--
Rate range
$79.27 - $162.52
77014 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $154.50 | -- | -- | 2026 |
| Arizona | $122.38 | -- | -- | 2025 |
| Colorado | $131.32 | -- | -- | 2026 |
| Hawaii | $79.27 | -- | -- | 2025 |
| Indiana | $109.84 | -- | -- | 2025 |
| Kentucky | $119.11 | -- | -- | 2026 |
| Massachusetts | $94.40 | -- | -- | 2025 |
| Montana | $162.52 | -- | -- | 2025 |
| North Carolina | $148.13 | -- | -- | 2022 |
| New Mexico | $136.34 | -- | -- | 2023 |
| Ohio | $100.96 | -- | -- | 2018 |
| Rhode Island | $131.43 | -- | -- | 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 77014?
12 state Medicaid programs publish a fee-for-service rate for 77014 (cT guidance for radiation field placement), ranging from $79.27 in Hawaii to $162.52 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 77014?
Montana publishes the highest Medicaid rate for 77014 at $162.52. Hawaii publishes the lowest at $79.27.
Does 77014 require prior authorization under Medicaid?
No publishing state flags 77014 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.