The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 86921. 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
$5.26 - $153.58
86921 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $94.99 | -- | -- | 2026 |
| Alabama | $24.00 | -- | -- | 2026 |
| Arkansas | $32.26 | -- | -- | 2026 |
| Arizona | $15.19 | -- | -- | 2026 |
| Colorado | $15.54 | -- | -- | 2026 |
| Connecticut | $15.20 | -- | -- | 2015 |
| District of Columbia | $17.25 | -- | Not required | 2016 |
| Delaware | $36.00 | -- | -- | 2026 |
| Hawaii | $20.80 | -- | -- | 2025 |
| Idaho | $20.74 | -- | Not required | 2025 |
| Illinois | $9.15 | -- | -- | 2013 |
| Indiana | $26.03 | -- | -- | 2026 |
| Kansas | $129.47 | -- | -- | 2023 |
| Kentucky | $21.18 | -- | -- | 2026 |
| Louisiana | $37.10 | -- | -- | 2026 |
| Maine | $24.00 | -- | -- | 2026 |
| Michigan | $5.26 | -- | -- | 2026 |
| Minnesota | $11.06 | -- | -- | 1994 |
| Missouri | $153.58 | -- | Not required | 2026 |
| Mississippi | $15.63 | -- | -- | 2026 |
| Nebraska | $41.29 | -- | -- | 2026 |
| New Hampshire | $65.69 | -- | Not required | 2026 |
| New Jersey | $12.00 | -- | Not required | 2026 |
| New Mexico | $76.04 | -- | -- | 2026 |
| Nevada | $16.14 | -- | -- | 2017 |
| Ohio | $21.45 | -- | -- | 2018 |
| Oklahoma | $18.72 | -- | -- | 2026 |
| Pennsylvania | $21.00 | -- | -- | 2009 |
| Rhode Island | $21.30 | -- | -- | 2026 |
| South Carolina | $16.84 | -- | -- | 2026 |
| Texas | $11.11* | -- | -- | 2025 |
| Virginia | $21.50 | -- | -- | 1993 |
| Wisconsin | $63.26 | -- | -- | 2008 |
| West Virginia | $21.45 | -- | -- | 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 86921?
34 state Medicaid programs publish a fee-for-service rate for 86921 (blood compatibility test, incubation technique), ranging from $5.26 in Michigan to $153.58 in Missouri. The full table on this page lists every publishing state's current rate.
Which state pays the most for 86921?
Missouri publishes the highest Medicaid rate for 86921 at $153.58. Michigan publishes the lowest at $5.26.
Does 86921 require prior authorization under Medicaid?
No publishing state flags 86921 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.