77062 Medicaid Rate by State

3D mammogram (tomosynthesis), both breasts

10 state Medicaid programs publish a fee-for-service rate for 77062 (3D mammogram (tomosynthesis), both breasts), ranging from $16.40 in Connecticut to $314.48 in Wisconsin.

The Rates plan

$29/mo7-day free trial

This page shows one representative rate per state for 77062. 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
Start 7-day free trial

$29/mo after the trial. Cancel anytime.

Publishing states

10

Median % of Medicare

--

Rate range

$16.40 - $314.48

77062 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$140.81----2026
Arizona$83.72----2026
Connecticut$16.40----2016
Kansas$34.28----2019
Louisiana$48.19----2026
Maine$64.35----2026
New Hampshire$37.72--Not required2026
Pennsylvania$48.19----2015
South Carolina$95.86----2015
Wisconsin$314.48----2022

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

Frequently asked questions

How much does Medicaid pay for 77062?

10 state Medicaid programs publish a fee-for-service rate for 77062 (3D mammogram (tomosynthesis), both breasts), ranging from $16.40 in Connecticut to $314.48 in Wisconsin. The full table on this page lists every publishing state's current rate.

Which state pays the most for 77062?

Wisconsin publishes the highest Medicaid rate for 77062 at $314.48. Connecticut publishes the lowest at $16.40.

Does 77062 require prior authorization under Medicaid?

No publishing state flags 77062 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.