The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 92534. 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
22
Median % of Medicare
--
Rate range
$2.50 - $57.78
92534 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $27.49 | -- | -- | 2026 |
| Arkansas | $23.00 | -- | -- | 2026 |
| Arizona | $57.78 | -- | -- | 2020 |
| Colorado | $3.13 | -- | -- | 2026 |
| Connecticut | $12.06 | -- | -- | 2013 |
| District of Columbia | $2.50 | -- | Not required | 2016 |
| Iowa | $14.15 | -- | -- | 2024 |
| Idaho | $33.54 | -- | Not required | 2025 |
| Illinois | $21.55 | -- | -- | 2026 |
| Kentucky | $2.76 | -- | -- | 2026 |
| Louisiana | $11.33 | -- | -- | 2026 |
| Maine | $4.54 | -- | -- | 2026 |
| Minnesota | $14.92 | -- | -- | 2026 |
| Missouri | $28.99 | -- | Not required | 2019 |
| North Carolina | $33.63 | -- | -- | 2025 |
| New Hampshire | $3.21 | -- | Not required | 2026 |
| New Mexico | $4.13 | -- | -- | 2025 |
| Nevada | $20.67 | -- | -- | 2024 |
| Texas | $16.74* | -- | -- | 2022 |
| Utah | $11.85* | -- | Not required | 2021 |
| Virginia | $10.37* | -- | -- | 2009 |
| Wisconsin | $53.08 | -- | -- | 2022 |
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 92534?
22 state Medicaid programs publish a fee-for-service rate for 92534 (optokinetic nystagmus test (retired code)), ranging from $2.50 in District of Columbia to $57.78 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for 92534?
Arizona publishes the highest Medicaid rate for 92534 at $57.78. District of Columbia publishes the lowest at $2.50.
Does 92534 require prior authorization under Medicaid?
No publishing state flags 92534 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.