The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 77424. 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
13
Median % of Medicare
--
Rate range
$102.78 - $6,639.43
77424 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $114.89 | -- | -- | 2026 |
| Arkansas | $2,308.05* | -- | -- | 2026 |
| Arizona | $1,357.66 | -- | -- | 2026 |
| Idaho | $2,066.47 | -- | Not required | 2012 |
| Kentucky | $2,371.59 | -- | -- | 2026 |
| Michigan | $3,935.48 | -- | -- | 2026 |
| Missouri | $6,639.43 | -- | Not required | 2026 |
| Mississippi | $5,593.30 | -- | -- | 2026 |
| Montana | $2,429.53 | -- | -- | 2026 |
| North Carolina | $102.78 | -- | -- | 2025 |
| New Mexico | $924.66 | -- | -- | 2026 |
| New York | $107.97 | -- | -- | 2026 |
| Texas | $253.67* | -- | -- | 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 77424?
13 state Medicaid programs publish a fee-for-service rate for 77424 (radiation delivery during surgery, X-ray, one session), ranging from $102.78 in North Carolina to $6,639.43 in Missouri. The full table on this page lists every publishing state's current rate.
Which state pays the most for 77424?
Missouri publishes the highest Medicaid rate for 77424 at $6,639.43. North Carolina publishes the lowest at $102.78.
Does 77424 require prior authorization under Medicaid?
No publishing state flags 77424 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.