The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 86079. 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
$29/mo after the trial. Cancel anytime.
Publishing states
40
Median % of Medicare
82.4%
Rate range
$26.91 - $93.21
86079 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $93.21 | 182.4% | -- | 2026 |
| Alabama | $31.17 | -- | -- | 2026 |
| Arkansas | $38.50 | 75.3% | -- | 2026 |
| Arizona | $54.04 | 105.8% | -- | 2025 |
| California | $43.56 | 85.2% | -- | 2026 |
| Colorado | $41.61 | 81.4% | -- | 2026 |
| Connecticut | $37.82 | 74% | -- | 2026 |
| District of Columbia | $45.02 | 88.1% | Not required | 2026 |
| Georgia | $45.00 | 88.1% | -- | 2026 |
| Hawaii | $29.66 | 58% | -- | 2025 |
| Iowa | $44.27 | 86.6% | -- | 2024 |
| Idaho | $42.11 | 82.4% | Not required | 2026 |
| Illinois | $31.66 | 62% | -- | 2024 |
| Indiana | $49.39 | 96.7% | -- | 2025 |
| Kentucky | $39.93 | 78.1% | -- | 2026 |
| Massachusetts | $39.89 | 78.1% | -- | 2025 |
| Michigan | $27.84 | -- | -- | 2026 |
| Minnesota | $50.47 | 98.8% | -- | 2026 |
| Missouri | $46.98 | -- | Not required | 2026 |
| Mississippi | $43.26 | 84.7% | -- | 2026 |
| Montana | $71.25 | 139.4% | -- | 2026 |
| North Carolina | $40.47 | 79.2% | -- | 2025 |
| North Dakota | $56.32 | 110.2% | Not required | 2026 |
| Nebraska | $55.38 | 108.4% | -- | 2026 |
| New Jersey | $45.87 | 89.8% | Not required | 2026 |
| New Mexico | $51.78 | 101.3% | -- | 2023 |
| Ohio | $37.12 | 72.6% | -- | 2026 |
| Oklahoma | $45.65 | 89.3% | -- | 2026 |
| Oregon | $41.20* | 80.6% | -- | 2026 |
| Pennsylvania | $41.56 | 81.3% | -- | 2018 |
| Rhode Island | $30.44 | 59.6% | -- | 2026 |
| South Carolina | $38.81 | 75.9% | -- | 2024 |
| Texas | $41.97* | 82.1% | -- | 2025 |
| Utah | $29.31* | 57.4% | Not required | 2018 |
| Virginia | $44.27 | 86.6% | -- | 2026 |
| Vermont | $42.58 | 83.3% | -- | 2026 |
| Washington | $30.58 | 59.8% | -- | 2026 |
| Wisconsin | $26.91 | 52.7% | -- | 2008 |
| West Virginia | $35.62 | 69.7% | -- | 2026 |
| Wyoming | $45.41 | 88.9% | -- | 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 86079?
40 state Medicaid programs publish a fee-for-service rate for 86079 (blood bank physician authorization for non-standard blood), ranging from $26.91 in Wisconsin to $93.21 in Alaska, with a median of 82.4% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 86079?
Alaska publishes the highest Medicaid rate for 86079 at $93.21 (182.4% of the national Medicare amount). Wisconsin publishes the lowest at $26.91.
Does 86079 require prior authorization under Medicaid?
No publishing state flags 86079 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.