The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90717. 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
24
Median % of Medicare
--
Rate range
$4.00 - $274.77
90717 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $235.16 | -- | -- | 2026 |
| Arizona | $256.33 | -- | -- | 2026 |
| California | $260.79 | -- | -- | 2026 |
| District of Columbia | $39.55 | -- | Not required | 1994 |
| Hawaii | $4.00 | -- | -- | 2025 |
| Iowa | $142.46 | -- | -- | 2023 |
| Idaho | $135.03 | -- | Not required | 2025 |
| Illinois | $274.77 | -- | -- | 2026 |
| Indiana | $269.14 | -- | -- | 2026 |
| Maine | $75.06 | -- | -- | 2026 |
| Michigan | $271.71 | -- | -- | 2026 |
| Minnesota | $256.33 | -- | -- | 2025 |
| North Carolina | $264.02 | -- | -- | 2025 |
| North Dakota | $256.33 | -- | Not required | 2026 |
| New Hampshire | $256.33 | -- | Not required | 2026 |
| New Jersey | $253.77 | -- | Not required | 2026 |
| New Mexico | $91.99 | -- | -- | 2025 |
| Pennsylvania | $10.00 | -- | -- | 2024 |
| South Carolina | $252.22 | -- | -- | 2026 |
| Texas | $138.24* | -- | -- | 2025 |
| Virginia | $64.84 | -- | -- | 2011 |
| Washington | $256.33 | -- | -- | 2026 |
| Wisconsin | $101.49 | -- | -- | 2026 |
| Wyoming | $75.06 | -- | -- | 2023 |
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 90717?
24 state Medicaid programs publish a fee-for-service rate for 90717 (yellow fever vaccine), ranging from $4.00 in Hawaii to $274.77 in Illinois. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90717?
Illinois publishes the highest Medicaid rate for 90717 at $274.77. Hawaii publishes the lowest at $4.00.
Does 90717 require prior authorization under Medicaid?
No publishing state flags 90717 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.