The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 86860. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
34
Median % of Medicare
--
Rate range
$4.20 - $153.58
86860 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $30.00 | -- | -- | 2026 |
| Arkansas | $22.00 | -- | -- | 2026 |
| Arizona | $28.37 | -- | -- | 2026 |
| California | $19.83 | -- | -- | 2026 |
| Colorado | $30.00 | -- | -- | 2026 |
| Connecticut | $17.98 | -- | -- | 2015 |
| District of Columbia | $7.20 | -- | Not required | 2017 |
| Delaware | $24.37 | -- | -- | 2026 |
| Georgia | $6.12 | -- | -- | 2026 |
| Hawaii | $16.20 | -- | -- | 2025 |
| Iowa | $20.02 | -- | -- | 2024 |
| Idaho | $18.82 | -- | Not required | 2025 |
| Illinois | $11.58 | -- | -- | 2013 |
| Indiana | $65.08 | -- | -- | 2026 |
| Kansas | $129.47 | -- | -- | 2023 |
| Louisiana | $10.51 | -- | -- | 2026 |
| Michigan | $91.03 | -- | -- | 2026 |
| Missouri | $153.58 | -- | Not required | 2026 |
| Mississippi | $6.55 | -- | -- | 2026 |
| North Carolina | $14.06 | -- | -- | 2025 |
| Nebraska | $76.95 | -- | -- | 2026 |
| New Hampshire | $11.38 | -- | Not required | 2026 |
| New Jersey | $4.20 | -- | Not required | 2026 |
| New Mexico | $28.98 | -- | -- | 2025 |
| Nevada | $16.95 | -- | -- | 2024 |
| Ohio | $26.96 | -- | -- | 2018 |
| Oklahoma | $6.55 | -- | -- | 2026 |
| Pennsylvania | $8.45 | -- | -- | 2009 |
| Rhode Island | $36.97 | -- | -- | 2026 |
| South Carolina | $35.23 | -- | -- | 2026 |
| Texas | $20.63* | -- | -- | 2025 |
| Virginia | $12.60 | -- | -- | 1993 |
| Wisconsin | $19.00 | -- | -- | 2011 |
| West Virginia | $26.96 | -- | -- | 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 86860?
34 state Medicaid programs publish a fee-for-service rate for 86860 (red cell antibody elution, each), ranging from $4.20 in New Jersey to $153.58 in Missouri. The full table on this page lists every publishing state's current rate.
Which state pays the most for 86860?
Missouri publishes the highest Medicaid rate for 86860 at $153.58. New Jersey publishes the lowest at $4.20.
Does 86860 require prior authorization under Medicaid?
No publishing state flags 86860 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.