The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90653. 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 - $122.52
90653 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $98.16 | -- | -- | 2026 |
| Arkansas | $83.49 | -- | -- | 2026 |
| Arizona | $122.52 | -- | -- | 2026 |
| California | $102.62 | -- | -- | 2026 |
| Connecticut | $98.16 | -- | -- | 2026 |
| District of Columbia | $98.16 | -- | Not required | 2025 |
| Florida | $83.49 | -- | -- | 2025 |
| Hawaii | $4.00 | -- | -- | 2025 |
| Iowa | $74.17 | -- | -- | 2024 |
| Idaho | $84.81 | -- | Not required | 2026 |
| Illinois | $95.51 | -- | -- | 2025 |
| Indiana | $76.24 | -- | -- | 2024 |
| Kansas | $98.16 | -- | -- | 2025 |
| Kentucky | $98.16 | -- | -- | 2026 |
| Maine | $122.52 | -- | -- | 2026 |
| Michigan | $98.16 | -- | -- | 2026 |
| Minnesota | $122.52 | -- | -- | 2026 |
| Mississippi | $83.49 | -- | -- | 2024 |
| Montana | $98.16 | -- | -- | 2026 |
| North Dakota | $98.16 | -- | Not required | 2026 |
| Nebraska | $98.16 | -- | -- | 2026 |
| New Hampshire | $73.36 | -- | Not required | 2026 |
| New Jersey | $84.63 | -- | Not required | 2026 |
| New Mexico | $83.49 | -- | -- | 2025 |
| Oklahoma | $91.91 | -- | -- | 2026 |
| Pennsylvania | $10.00 | -- | -- | 2024 |
| South Carolina | $84.73 | -- | -- | 2025 |
| Texas | $78.66* | -- | -- | 2026 |
| Utah | $98.16* | -- | Not required | 2025 |
| Virginia | $98.16 | -- | -- | 2025 |
| Vermont | $93.25 | -- | -- | 2026 |
| Washington | $98.16 | -- | -- | 2026 |
| Wisconsin | $98.49 | -- | -- | 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 90653?
33 state Medicaid programs publish a fee-for-service rate for 90653 (flu vaccine, trivalent, adjuvanted, 65 and older), ranging from $4.00 in Hawaii to $122.52 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90653?
Arizona publishes the highest Medicaid rate for 90653 at $122.52. Hawaii publishes the lowest at $4.00.
Does 90653 require prior authorization under Medicaid?
No publishing state flags 90653 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.