The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90738. 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
14
Median % of Medicare
--
Rate range
$4.00 - $605.00
90738 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $224.19 | -- | -- | 2026 |
| California | $308.10 | -- | -- | 2026 |
| Hawaii | $4.00 | -- | -- | 2025 |
| Iowa | $291.28 | -- | -- | 2024 |
| Michigan | $321.86 | -- | -- | 2026 |
| North Carolina | $312.75 | -- | -- | 2026 |
| North Dakota | $303.64 | -- | Not required | 2026 |
| New Hampshire | $303.64 | -- | Not required | 2026 |
| New Jersey | $300.60 | -- | Not required | 2026 |
| Pennsylvania | $10.00 | -- | -- | 2023 |
| South Carolina | $298.78 | -- | -- | 2026 |
| Texas | $316.92* | -- | -- | 2026 |
| Washington | $303.64 | -- | -- | 2026 |
| Wisconsin | $605.00 | -- | -- | 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 90738?
14 state Medicaid programs publish a fee-for-service rate for 90738 (japanese encephalitis vaccine, intramuscular), ranging from $4.00 in Hawaii to $605.00 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90738?
Wisconsin publishes the highest Medicaid rate for 90738 at $605.00. Hawaii publishes the lowest at $4.00.
Does 90738 require prior authorization under Medicaid?
No publishing state flags 90738 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.