The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90626. 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
16
Median % of Medicare
--
Rate range
$10.00 - $355.56
90626 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $289.43 | -- | -- | 2026 |
| Arizona | $319.10 | -- | -- | 2026 |
| California | $323.56 | -- | -- | 2026 |
| Illinois | $296.82 | -- | -- | 2026 |
| Indiana | $335.06 | -- | -- | 2026 |
| Kentucky | $319.10 | -- | -- | 2026 |
| Michigan | $338.25 | -- | -- | 2026 |
| North Carolina | $328.67 | -- | -- | 2026 |
| North Dakota | $319.10 | -- | Not required | 2026 |
| Nebraska | $340.80 | -- | -- | 2026 |
| New Hampshire | $319.10 | -- | Not required | 2026 |
| New Jersey | $315.91 | -- | Not required | 2026 |
| Pennsylvania | $10.00 | -- | -- | 2023 |
| South Carolina | $313.99 | -- | -- | 2026 |
| Texas | $355.56* | -- | -- | 2026 |
| Washington | $319.10 | -- | -- | 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 90626?
16 state Medicaid programs publish a fee-for-service rate for 90626 (tick-borne encephalitis vaccine, 0.25 mL), ranging from $10.00 in Pennsylvania to $355.56 in Texas. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90626?
Texas publishes the highest Medicaid rate for 90626 at $355.56. Pennsylvania publishes the lowest at $10.00.
Does 90626 require prior authorization under Medicaid?
No publishing state flags 90626 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.