78399 Medicaid Rate by State

Unlisted bone or joint nuclear medicine procedure

14 state Medicaid programs publish a fee-for-service rate for 78399 (unlisted bone or joint nuclear medicine procedure), ranging from $40.00 in District of Columbia to $506.31 in Texas.

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This page shows one representative rate per state for 78399. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

14

Median % of Medicare

--

Rate range

$40.00 - $506.31

78399 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$209.32*----2026
Arizona$149.21----2026
District of Columbia$40.00*--Not required2019
Idaho$155.34--Not required2017
Kentucky$215.08----2026
Maine$136.44*----2026
Michigan$213.61----2026
Missouri$172.70--Not required2022
Mississippi$303.59----2026
Montana$286.38----2026
New Mexico$247.43----2026
Rhode Island$361.17----2026
South Carolina$150.94----2026
Texas$506.31*----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

Frequently asked questions

How much does Medicaid pay for 78399?

14 state Medicaid programs publish a fee-for-service rate for 78399 (unlisted bone or joint nuclear medicine procedure), ranging from $40.00 in District of Columbia to $506.31 in Texas. The full table on this page lists every publishing state's current rate.

Which state pays the most for 78399?

Texas publishes the highest Medicaid rate for 78399 at $506.31. District of Columbia publishes the lowest at $40.00.

Does 78399 require prior authorization under Medicaid?

No publishing state flags 78399 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.