The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90611. 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
24
Median % of Medicare
--
Rate range
$0.01 - $579.96
90611 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $270.00 | -- | -- | 2026 |
| Arkansas | $13.14* | -- | -- | 2026 |
| Arizona | $280.80 | -- | -- | 2026 |
| California | $285.26 | -- | -- | 2026 |
| Florida | $270.00 | -- | -- | 2025 |
| Hawaii | $43.32 | -- | -- | 2025 |
| Illinois | $16.26 | -- | -- | 2026 |
| Indiana | $294.84 | -- | -- | 2026 |
| Kansas | $270.00 | -- | -- | 2026 |
| Kentucky | $51.31 | -- | -- | 2026 |
| Louisiana | $270.00 | -- | -- | 2026 |
| Michigan | $297.65 | -- | -- | 2026 |
| Minnesota | $280.80 | -- | -- | 2026 |
| Mississippi | $0.01 | -- | -- | 2025 |
| North Carolina | $289.22 | -- | -- | 2026 |
| North Dakota | $280.80 | -- | Not required | 2026 |
| Nebraska | $299.89 | -- | -- | 2026 |
| New Hampshire | $280.80 | -- | Not required | 2026 |
| New Jersey | $277.99 | -- | Not required | 2026 |
| Pennsylvania | $10.00 | -- | -- | 2023 |
| South Carolina | $276.31 | -- | -- | 2026 |
| Texas | $579.96* | -- | -- | 2024 |
| Wisconsin | $247.34 | -- | -- | 2026 |
| Wyoming | $270.00* | -- | -- | 2024 |
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 90611?
24 state Medicaid programs publish a fee-for-service rate for 90611 (smallpox and mpox vaccine (Jynneos)), ranging from $0.01 in Mississippi to $579.96 in Texas. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90611?
Texas publishes the highest Medicaid rate for 90611 at $579.96. Mississippi publishes the lowest at $0.01.
Does 90611 require prior authorization under Medicaid?
No publishing state flags 90611 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.