The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 86950. 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
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Publishing states
22
Median % of Medicare
--
Rate range
$3.74 - $168.93
86950 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $32.00 | -- | -- | 2026 |
| Arizona | $40.52 | -- | -- | 2026 |
| Colorado | $56.64 | -- | -- | 2026 |
| Connecticut | $41.80 | -- | -- | 2015 |
| Iowa | $35.15 | -- | -- | 2024 |
| Illinois | $25.01 | -- | -- | 2026 |
| Indiana | $83.19 | -- | -- | 2026 |
| Kansas | $129.47 | -- | -- | 2023 |
| Louisiana | $31.37 | -- | -- | 2026 |
| Maine | $77.85 | -- | -- | 2026 |
| Michigan | $91.03 | -- | -- | 2026 |
| Missouri | $153.58 | -- | Not required | 2026 |
| Mississippi | $126.55 | -- | -- | 2026 |
| Nebraska | $168.93 | -- | -- | 2026 |
| New Jersey | $32.00 | -- | Not required | 2026 |
| New Mexico | $93.98 | -- | -- | 2025 |
| Nevada | $40.72 | -- | -- | 2024 |
| Ohio | $28.58 | -- | -- | 2018 |
| Texas | $42.85* | -- | -- | 2025 |
| Virginia | $75.00 | -- | -- | 1993 |
| Washington | $3.74 | -- | -- | 2026 |
| West Virginia | $28.58 | -- | -- | 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 86950?
22 state Medicaid programs publish a fee-for-service rate for 86950 (white cell (leukocyte) transfusion), ranging from $3.74 in Washington to $168.93 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 86950?
Nebraska publishes the highest Medicaid rate for 86950 at $168.93. Washington publishes the lowest at $3.74.
Does 86950 require prior authorization under Medicaid?
No publishing state flags 86950 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.