The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 86977. 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
25
Median % of Medicare
--
Rate range
$5.97 - $166.55
86977 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $12.00 | -- | -- | 2026 |
| Arkansas | $12.00 | -- | -- | 2026 |
| Arizona | $24.70 | -- | -- | 2026 |
| California | $16.65 | -- | -- | 2026 |
| Colorado | $19.00 | -- | -- | 2026 |
| Connecticut | $7.60 | -- | -- | 2015 |
| Iowa | $48.29 | -- | -- | 2024 |
| Illinois | $7.98 | -- | -- | 2013 |
| Indiana | $19.52 | -- | -- | 2026 |
| Kansas | $129.47 | -- | -- | 2023 |
| Kentucky | $50.00 | -- | -- | 2026 |
| Louisiana | $5.97 | -- | -- | 2026 |
| Massachusetts | $19.27 | -- | -- | 2024 |
| Maine | $8.00 | -- | -- | 2026 |
| Michigan | $91.03 | -- | -- | 2026 |
| Missouri | $153.58 | -- | Not required | 2026 |
| Mississippi | $23.32 | -- | -- | 2026 |
| Nebraska | $91.97 | -- | -- | 2026 |
| New Jersey | $25.00 | -- | Not required | 2026 |
| New Mexico | $166.55 | -- | -- | 2025 |
| Nevada | $18.70 | -- | -- | 2024 |
| Ohio | $14.43 | -- | -- | 2018 |
| Oklahoma | $11.24 | -- | -- | 2026 |
| Wisconsin | $11.32 | -- | -- | 2008 |
| West Virginia | $14.43 | -- | -- | 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 86977?
25 state Medicaid programs publish a fee-for-service rate for 86977 (serum pretreatment with inhibitors for antibody ID), ranging from $5.97 in Louisiana to $166.55 in New Mexico. The full table on this page lists every publishing state's current rate.
Which state pays the most for 86977?
New Mexico publishes the highest Medicaid rate for 86977 at $166.55. Louisiana publishes the lowest at $5.97.
Does 86977 require prior authorization under Medicaid?
No publishing state flags 86977 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.