The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90650. 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
17
Median % of Medicare
--
Rate range
$4.00 - $253.60
90650 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $13.14* | -- | -- | 2026 |
| California | $132.59 | -- | -- | 2026 |
| District of Columbia | $112.42 | -- | Not required | 2013 |
| Delaware | $15.00 | -- | -- | 2026 |
| Hawaii | $4.00 | -- | -- | 2025 |
| Idaho | $123.60 | -- | Not required | 2025 |
| Indiana | $134.40 | -- | -- | 2013 |
| Kentucky | $128.75 | -- | -- | 2026 |
| Louisiana | $131.84 | -- | -- | 2026 |
| Missouri | $8.07* | -- | Not required | 2022 |
| North Carolina | $131.92 | -- | -- | 2025 |
| Nebraska | $10.92* | -- | -- | 2026 |
| New Jersey | $156.10 | -- | Not required | 2026 |
| New Mexico | $157.80 | -- | -- | 2025 |
| Rhode Island | $48.16 | -- | -- | 2026 |
| Utah | $135.40* | -- | Not required | 2024 |
| Virginia | $253.60* | -- | -- | 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 90650?
17 state Medicaid programs publish a fee-for-service rate for 90650 (hPV vaccine, 2-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 90650?
Virginia publishes the highest Medicaid rate for 90650 at $253.60. Hawaii publishes the lowest at $4.00.
Does 90650 require prior authorization under Medicaid?
No publishing state flags 90650 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.