The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90619. 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
32
Median % of Medicare
--
Rate range
$8.07 - $189.15
90619 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $171.97 | -- | -- | 2026 |
| Arkansas | $161.09 | -- | -- | 2026 |
| Arizona | $177.11 | -- | -- | 2026 |
| California | $180.82 | -- | -- | 2026 |
| Delaware | $15.00 | -- | -- | 2026 |
| Florida | $166.98* | -- | -- | 2025 |
| Iowa | $157.98 | -- | -- | 2023 |
| Idaho | $110.13 | -- | Not required | 2025 |
| Illinois | $16.26 | -- | -- | 2026 |
| Indiana | $185.18 | -- | -- | 2026 |
| Kansas | $171.97 | -- | -- | 2026 |
| Kentucky | $82.00 | -- | -- | 2026 |
| Michigan | $186.94 | -- | -- | 2026 |
| Minnesota | $177.11 | -- | -- | 2025 |
| Missouri | $8.07* | -- | Not required | 2022 |
| Mississippi | $155.36 | -- | -- | 2023 |
| Montana | $171.97 | -- | -- | 2026 |
| North Carolina | $181.65 | -- | -- | 2025 |
| North Dakota | $177.11 | -- | Not required | 2026 |
| Nebraska | $189.15 | -- | -- | 2026 |
| New Hampshire | $176.36 | -- | Not required | 2026 |
| New Jersey | $174.60 | -- | Not required | 2026 |
| New Mexico | $152.15 | -- | -- | 2024 |
| Oklahoma | $165.12 | -- | -- | 2026 |
| Pennsylvania | $10.00 | -- | -- | 2023 |
| South Carolina | $174.15 | -- | -- | 2026 |
| Texas | $184.57* | -- | -- | 2025 |
| Utah | $177.11* | -- | Not required | 2026 |
| Virginia | $141.43 | -- | -- | 2021 |
| Washington | $148.00 | -- | -- | 2026 |
| Wisconsin | $171.97 | -- | -- | 2026 |
| Wyoming | $148.71* | -- | -- | 2022 |
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 90619?
32 state Medicaid programs publish a fee-for-service rate for 90619 (meningococcal ACWY conjugate vaccine (MenQuadfi)), ranging from $8.07 in Missouri to $189.15 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90619?
Nebraska publishes the highest Medicaid rate for 90619 at $189.15. Missouri publishes the lowest at $8.07.
Does 90619 require prior authorization under Medicaid?
No publishing state flags 90619 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.