The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90952. 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
27
Median % of Medicare
--
Rate range
$245.54 - $775.50
90952 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $375.00 | -- | -- | 2026 |
| Colorado | $775.50 | -- | -- | 2026 |
| Connecticut | $635.02 | -- | -- | 2009 |
| District of Columbia | $632.25 | -- | Not required | 2009 |
| Idaho | $662.28 | -- | Not required | 2025 |
| Illinois | $245.54 | -- | -- | 2009 |
| Indiana | $760.33 | -- | -- | 2024 |
| Kansas | $539.82 | -- | -- | 2024 |
| Louisiana | $552.35 | -- | -- | 2026 |
| Maine | $349.24 | -- | -- | 2026 |
| Michigan | $462.56 | -- | -- | 2026 |
| Minnesota | $664.60 | -- | -- | 2026 |
| Missouri | $593.58 | -- | Not required | 2022 |
| Mississippi | $419.82 | -- | -- | 2026 |
| North Carolina | $363.83 | -- | -- | 2025 |
| Nebraska | $520.98 | -- | -- | 2026 |
| New Jersey | $468.23 | -- | Not required | 2026 |
| New Mexico | $526.02 | -- | -- | 2025 |
| Nevada | $648.02 | -- | -- | 2024 |
| New York | $490.71 | -- | -- | 2026 |
| Ohio | $406.11 | -- | -- | 2009 |
| Oklahoma | $406.54 | -- | -- | 2026 |
| Texas | $406.11* | -- | -- | 2024 |
| Virginia | $433.33* | -- | -- | 2010 |
| Wisconsin | $601.29 | -- | -- | 2009 |
| West Virginia | $503.48 | -- | -- | 2026 |
| Wyoming | $662.69* | -- | -- | 2021 |
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 90952?
27 state Medicaid programs publish a fee-for-service rate for 90952 (monthly ESRD care, age 2-11, 2-3 visits), ranging from $245.54 in Illinois to $775.50 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90952?
Colorado publishes the highest Medicaid rate for 90952 at $775.50. Illinois publishes the lowest at $245.54.
Does 90952 require prior authorization under Medicaid?
No publishing state flags 90952 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.