The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90620. 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
35
Median % of Medicare
--
Rate range
$8.07 - $268.40
90620 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $237.13 | -- | -- | 2026 |
| Arkansas | $183.11 | -- | -- | 2026 |
| Arizona | $251.31 | -- | -- | 2026 |
| California | $255.02 | -- | -- | 2026 |
| District of Columbia | $223.75 | -- | Not required | 2024 |
| Delaware | $15.00 | -- | -- | 2026 |
| Florida | $223.75* | -- | -- | 2025 |
| Iowa | $213.90 | -- | -- | 2024 |
| Idaho | $143.10 | -- | Not required | 2025 |
| Illinois | $16.26 | -- | -- | 2026 |
| Indiana | $263.09 | -- | -- | 2026 |
| Kansas | $237.13 | -- | -- | 2026 |
| Kentucky | $122.95 | -- | -- | 2026 |
| Maine | $147.37 | -- | -- | 2026 |
| Michigan | $265.59 | -- | -- | 2026 |
| Minnesota | $251.31 | -- | -- | 2026 |
| Missouri | $8.07* | -- | Not required | 2022 |
| Mississippi | $179.25 | -- | -- | 2020 |
| Montana | $237.13 | -- | -- | 2026 |
| North Carolina | $258.08 | -- | -- | 2026 |
| North Dakota | $237.13 | -- | Not required | 2026 |
| Nebraska | $268.40 | -- | -- | 2026 |
| New Hampshire | $250.56 | -- | Not required | 2026 |
| New Jersey | $248.05 | -- | Not required | 2026 |
| New Mexico | $207.86 | -- | -- | 2025 |
| Oklahoma | $234.60 | -- | -- | 2026 |
| Pennsylvania | $10.00 | -- | -- | 2024 |
| Rhode Island | $211.50 | -- | -- | 2026 |
| South Carolina | $247.16 | -- | -- | 2026 |
| Texas | $254.54* | -- | -- | 2025 |
| Utah | $237.13* | -- | Not required | 2025 |
| Virginia | $201.29 | -- | -- | 2022 |
| Washington | $250.56 | -- | -- | 2026 |
| Wisconsin | $237.13 | -- | -- | 2026 |
| Wyoming | $156.73 | -- | -- | 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 90620?
35 state Medicaid programs publish a fee-for-service rate for 90620 (meningococcal B vaccine, 4-component (Bexsero)), ranging from $8.07 in Missouri to $268.40 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90620?
Nebraska publishes the highest Medicaid rate for 90620 at $268.40. Missouri publishes the lowest at $8.07.
Does 90620 require prior authorization under Medicaid?
No publishing state flags 90620 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.