Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 81535. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
20
Median % of Medicare
85%
Rate range
$347.68 - $579.46
81535 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Connecticut | $405.62 | 70% | Required | 2016 |
| Delaware | $567.87 | 98% | -- | 2026 |
| Florida | $347.68 | 60% | -- | 2026 |
| Georgia | $463.57 | 80% | -- | 2026 |
| Hawaii | $399.38 | 68.9% | -- | 2025 |
| Idaho | $500.65 | 86.4% | Required | 2025 |
| Illinois | $394.67 | 68.1% | -- | 2024 |
| Kansas | $492.54 | 85% | -- | 2016 |
| Kentucky | $579.46 | 100% | -- | 2026 |
| Massachusetts | $511.01 | 88.2% | -- | 2024 |
| Michigan | $479.79 | 82.8% | -- | 2026 |
| Missouri | $521.51 | -- | Not required | 2026 |
| Mississippi | $521.51 | 90% | -- | 2026 |
| Montana | $579.46 | 100% | -- | 2026 |
| North Dakota | $579.46 | 100% | Required | 2026 |
| New Hampshire | $501.23 | 86.5% | Not required | 2026 |
| New Jersey | $463.57 | 80% | Not required | 2026 |
| New Mexico | $579.46 | 100% | -- | 2024 |
| Oregon | $463.57* | 80% | -- | 2026 |
| South Carolina | $451.98 | 78% | -- | 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
All 305 codes from 81000 to 81596 or every lab & imaging code by number.
Frequently asked questions
How much does Medicaid pay for 81535?
20 state Medicaid programs publish a fee-for-service rate for 81535 (chemotherapy response assay, live tumor cells, first drug), ranging from $347.68 in Florida to $579.46 in Kentucky, with a median of 85% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 81535?
Kentucky publishes the highest Medicaid rate for 81535 at $579.46 (100% of the national Medicare amount). Florida publishes the lowest at $347.68.
Does 81535 require prior authorization under Medicaid?
3 of the 20 publishing states flag 81535 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".