The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 90999. 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
11
Median % of Medicare
--
Rate range
$88.64 - $284.72
90999 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Connecticut | $139.25 | -- | -- | 2008 |
| District of Columbia | $162.00 | -- | Not required | 2009 |
| Idaho | $145.13 | -- | Not required | 2025 |
| Indiana | $88.64 | -- | -- | 2025 |
| Massachusetts | $204.94 | -- | -- | 2026 |
| Maine | $142.15 | -- | -- | 2026 |
| Michigan | $145.34 | -- | -- | 2026 |
| Missouri | $123.03* | -- | Not required | 2019 |
| Nevada | $284.72 | -- | -- | 2026 |
| Vermont | $157.76 | -- | -- | 2026 |
| Washington | $231.62 | -- | -- | 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 90999?
11 state Medicaid programs publish a fee-for-service rate for 90999 (unlisted dialysis procedure), ranging from $88.64 in Indiana to $284.72 in Nevada. The full table on this page lists every publishing state's current rate.
Which state pays the most for 90999?
Nevada publishes the highest Medicaid rate for 90999 at $284.72. Indiana publishes the lowest at $88.64.
Does 90999 require prior authorization under Medicaid?
No publishing state flags 90999 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.