The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90759. 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
26
Median % of Medicare
--
Rate range
$10.00 - $74.53
90759 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $73.82 | -- | -- | 2026 |
| Arkansas | $73.82 | -- | -- | 2026 |
| Arizona | $64.75 | -- | -- | 2026 |
| California | $69.21 | -- | -- | 2026 |
| Connecticut | $73.82 | -- | -- | 2026 |
| Florida | $73.82 | -- | -- | 2025 |
| Iowa | $65.58 | -- | -- | 2022 |
| Idaho | $63.77 | -- | Not required | 2025 |
| Kansas | $73.82 | -- | -- | 2022 |
| Kentucky | $74.53 | -- | -- | 2026 |
| Louisiana | $73.82 | -- | -- | 2026 |
| Minnesota | $73.81 | -- | -- | 2022 |
| Montana | $73.82 | -- | -- | 2026 |
| Nebraska | $69.15 | -- | -- | 2026 |
| New Hampshire | $74.35 | -- | Not required | 2026 |
| New Jersey | $66.60 | -- | Not required | 2026 |
| New Mexico | $73.82 | -- | -- | 2025 |
| Oklahoma | $66.91 | -- | -- | 2026 |
| Pennsylvania | $10.00 | -- | -- | 2023 |
| South Carolina | $63.71 | -- | -- | 2025 |
| Texas | $69.54* | -- | -- | 2024 |
| Utah | $73.82* | -- | Not required | 2024 |
| Virginia | $73.81 | -- | -- | 2023 |
| Vermont | $70.13 | -- | -- | 2026 |
| Washington | $64.75 | -- | -- | 2026 |
| Wisconsin | $73.82 | -- | -- | 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 90759?
26 state Medicaid programs publish a fee-for-service rate for 90759 (hepatitis B vaccine, 3-antigen, adult (PreHevbrio)), ranging from $10.00 in Pennsylvania to $74.53 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90759?
Kentucky publishes the highest Medicaid rate for 90759 at $74.53. Pennsylvania publishes the lowest at $10.00.
Does 90759 require prior authorization under Medicaid?
No publishing state flags 90759 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.