The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90649. 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
21
Median % of Medicare
--
Rate range
$4.00 - $253.60
90649 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $57.51 | -- | -- | 2026 |
| Arkansas | $13.14* | -- | -- | 2026 |
| California | $164.72 | -- | -- | 2026 |
| District of Columbia | $130.27 | -- | Not required | 2013 |
| Delaware | $15.00 | -- | -- | 2026 |
| Hawaii | $4.00 | -- | -- | 2025 |
| Iowa | $145.36 | -- | -- | 2021 |
| Idaho | $126.46 | -- | Not required | 2025 |
| Kentucky | $141.38 | -- | -- | 2026 |
| Louisiana | $159.75 | -- | -- | 2026 |
| Maine | $120.00 | -- | -- | 2026 |
| Missouri | $8.07* | -- | Not required | 2022 |
| Mississippi | $160.17 | -- | -- | 2020 |
| Nebraska | $10.92* | -- | -- | 2026 |
| New Jersey | $165.49 | -- | Not required | 2026 |
| New Mexico | $159.32 | -- | -- | 2025 |
| Rhode Island | $48.16 | -- | -- | 2026 |
| South Carolina | $157.48 | -- | -- | 2020 |
| Utah | $165.12* | -- | Not required | 2024 |
| Virginia | $253.60* | -- | -- | 2022 |
| Wyoming | $156.17* | -- | -- | 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 90649?
21 state Medicaid programs publish a fee-for-service rate for 90649 (hPV vaccine, 4-valent), ranging from $4.00 in Hawaii to $253.60 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90649?
Virginia publishes the highest Medicaid rate for 90649 at $253.60. Hawaii publishes the lowest at $4.00.
Does 90649 require prior authorization under Medicaid?
No publishing state flags 90649 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.