The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90636. 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
33
Median % of Medicare
--
Rate range
$4.00 - $151.23
90636 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $132.43 | -- | -- | 2026 |
| Arkansas | $91.28 | -- | -- | 2026 |
| Arizona | $141.60 | -- | -- | 2026 |
| California | $144.56 | -- | -- | 2026 |
| District of Columbia | $126.60 | -- | Not required | 2024 |
| Delaware | $15.00 | -- | -- | 2026 |
| Hawaii | $4.00 | -- | -- | 2025 |
| Iowa | $122.70 | -- | -- | 2025 |
| Idaho | $81.60 | -- | Not required | 2025 |
| Illinois | $16.26 | -- | -- | 2026 |
| Indiana | $147.10 | -- | -- | 2026 |
| Kansas | $132.43 | -- | -- | 2026 |
| Kentucky | $112.35 | -- | -- | 2026 |
| Massachusetts | $122.36 | -- | -- | 2026 |
| Maine | $110.64 | -- | -- | 2026 |
| Michigan | $148.51 | -- | -- | 2026 |
| Minnesota | $141.60 | -- | -- | 2026 |
| Montana | $112.35 | -- | -- | 2026 |
| North Carolina | $144.30 | -- | -- | 2026 |
| North Dakota | $132.43 | -- | Not required | 2026 |
| Nebraska | $151.23 | -- | -- | 2026 |
| New Hampshire | $140.10 | -- | Not required | 2026 |
| New Jersey | $138.70 | -- | Not required | 2026 |
| New Mexico | $138.83 | -- | -- | 2025 |
| Oklahoma | $131.17 | -- | -- | 2026 |
| Pennsylvania | $10.00 | -- | -- | 2023 |
| South Carolina | $139.09 | -- | -- | 2026 |
| Texas | $141.96* | -- | -- | 2026 |
| Utah | $110.04* | -- | Not required | 2025 |
| Virginia | $77.41* | -- | -- | 2004 |
| Washington | $140.10 | -- | -- | 2026 |
| Wisconsin | $132.43 | -- | -- | 2026 |
| Wyoming | $92.85* | -- | -- | 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 90636?
33 state Medicaid programs publish a fee-for-service rate for 90636 (hepatitis A and B vaccine, adult), ranging from $4.00 in Hawaii to $151.23 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90636?
Nebraska publishes the highest Medicaid rate for 90636 at $151.23. Hawaii publishes the lowest at $4.00.
Does 90636 require prior authorization under Medicaid?
No publishing state flags 90636 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.