The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90384. 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
$29/mo after the trial. Cancel anytime.
Publishing states
18
Median % of Medicare
--
Rate range
$10.00 - $118.00
90384 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $85.31 | -- | -- | 2026 |
| Iowa | $77.55 | -- | -- | 2024 |
| Idaho | $108.53 | -- | Not required | 2025 |
| Illinois | $74.81 | -- | -- | 2026 |
| Indiana | $89.58 | -- | -- | 2026 |
| Kansas | $85.31 | -- | -- | 2026 |
| Kentucky | $53.06 | -- | -- | 2026 |
| Maine | $114.63 | -- | -- | 2026 |
| Michigan | $83.36 | -- | -- | 2026 |
| Minnesota | $117.52 | -- | -- | 2025 |
| Mississippi | $75.52 | -- | -- | 2020 |
| Montana | $118.00 | -- | -- | 2026 |
| North Carolina | $99.00 | -- | -- | 2025 |
| New Mexico | $68.81 | -- | -- | 2025 |
| Pennsylvania | $10.00 | -- | -- | 2023 |
| Virginia | $112.09 | -- | -- | 2000 |
| Wisconsin | $96.00 | -- | -- | 2010 |
| Wyoming | $73.63 | -- | -- | 2021 |
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 90384?
18 state Medicaid programs publish a fee-for-service rate for 90384 (rho(D) immune globulin, full dose, intramuscular), ranging from $10.00 in Pennsylvania to $118.00 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90384?
Montana publishes the highest Medicaid rate for 90384 at $118.00. Pennsylvania publishes the lowest at $10.00.
Does 90384 require prior authorization under Medicaid?
No publishing state flags 90384 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.