The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 86945. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
31
Median % of Medicare
--
Rate range
$4.41 - $142.74
86945 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $142.74 | -- | -- | 2026 |
| Alabama | $20.00 | -- | -- | 2026 |
| Arkansas | $24.00 | -- | -- | 2026 |
| Arizona | $24.53 | -- | -- | 2021 |
| California | $25.16 | -- | -- | 2026 |
| Colorado | $29.03 | -- | -- | 2026 |
| Connecticut | $22.80 | -- | -- | 2015 |
| District of Columbia | $11.08 | -- | Not required | 2016 |
| Delaware | $42.00 | -- | -- | 2026 |
| Georgia | $36.05 | -- | -- | 2026 |
| Hawaii | $54.60 | -- | -- | 2025 |
| Iowa | $19.31 | -- | -- | 2024 |
| Illinois | $6.42 | -- | -- | 2013 |
| Indiana | $79.52 | -- | -- | 2026 |
| Kansas | $29.38 | -- | -- | 2023 |
| Louisiana | $34.19 | -- | -- | 2026 |
| Massachusetts | $24.12 | -- | -- | 2024 |
| Maine | $22.78 | -- | -- | 2026 |
| Michigan | $19.96 | -- | -- | 2026 |
| Missouri | $33.67 | -- | Not required | 2026 |
| Mississippi | $15.63 | -- | -- | 2026 |
| Nebraska | $60.06 | -- | -- | 2026 |
| New Hampshire | $4.41 | -- | Not required | 2026 |
| New Jersey | $8.00 | -- | Not required | 2026 |
| New Mexico | $76.04 | -- | -- | 2026 |
| Nevada | $15.58 | -- | -- | 2024 |
| Ohio | $10.54 | -- | -- | 2018 |
| Oklahoma | $14.05 | -- | -- | 2026 |
| South Carolina | $28.19 | -- | -- | 2026 |
| Virginia | $35.60 | -- | -- | 1993 |
| West Virginia | $10.54 | -- | -- | 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 86945?
31 state Medicaid programs publish a fee-for-service rate for 86945 (blood product irradiation, each unit), ranging from $4.41 in New Hampshire to $142.74 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 86945?
Alaska publishes the highest Medicaid rate for 86945 at $142.74. New Hampshire publishes the lowest at $4.41.
Does 86945 require prior authorization under Medicaid?
No publishing state flags 86945 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.