The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90378. 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
20
Median % of Medicare
--
Rate range
$10.00 - $1,929.90
90378 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $414.91* | -- | -- | 2026 |
| Arizona | $683.88 | -- | -- | 2026 |
| California | $1,757.32 | -- | -- | 2026 |
| District of Columbia | $647.65 | -- | Not required | 2000 |
| Iowa | $1,843.96 | -- | -- | 2024 |
| Idaho | $1,416.80 | -- | Required | 2025 |
| Kansas | $1,718.96 | -- | -- | 2023 |
| Kentucky | $327.21 | -- | -- | 2026 |
| Maine | $436.75 | -- | -- | 2026 |
| Michigan | $1,929.90 | -- | -- | 2026 |
| Minnesota | $1,386.77 | -- | Required | 2025 |
| Montana | $436.75 | -- | -- | 2026 |
| New Hampshire | $1,628.28 | -- | Not required | 2026 |
| New Jersey | $1,802.45 | -- | Not required | 2026 |
| New Mexico | $772.61 | -- | -- | 2025 |
| Pennsylvania | $10.00 | -- | -- | 2023 |
| Rhode Island | $1,131.69 | -- | -- | 2026 |
| South Carolina | $1,691.46 | -- | -- | 2023 |
| Virginia | $1,500.00* | -- | -- | 2011 |
| Washington | $1,310.31 | -- | -- | 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 physician codes
- 10004 - Needle biopsy without imaging, each added lesion
- 10005 - Needle biopsy with ultrasound guidance, first lesion
- 10006 - Needle biopsy with ultrasound guidance, each added lesion
- 10007 - Needle biopsy with fluoroscopic guidance, first lesion
- 10009 - Needle biopsy with CT guidance, first lesion
- 10011 - Needle biopsy with MRI guidance, first lesion
- 10012 - Needle biopsy with MRI guidance, each added lesion
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
Frequently asked questions
How much does Medicaid pay for 90378?
20 state Medicaid programs publish a fee-for-service rate for 90378 (rSV monoclonal antibody (palivizumab), 50 mg), ranging from $10.00 in Pennsylvania to $1,929.90 in Michigan. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90378?
Michigan publishes the highest Medicaid rate for 90378 at $1,929.90. Pennsylvania publishes the lowest at $10.00.
Does 90378 require prior authorization under Medicaid?
2 of the 20 publishing states flag 90378 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".