The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 93571. 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
45
Median % of Medicare
--
Rate range
$51.64 - $539.51
93571 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $164.71* | -- | -- | 2026 |
| Alabama | $111.16 | -- | -- | 2026 |
| Arkansas | $149.20 | -- | -- | 2026 |
| Arizona | $279.29 | -- | -- | 2020 |
| California | $242.81 | -- | -- | 2026 |
| Colorado | $210.67 | -- | -- | 2026 |
| Connecticut | $183.32 | -- | -- | 2026 |
| District of Columbia | $146.43 | -- | Not required | 2003 |
| Delaware | $89.84* | -- | -- | 2026 |
| Georgia | $233.59 | -- | -- | 2026 |
| Hawaii | $219.12 | -- | -- | 2025 |
| Iowa | $208.10 | -- | -- | 2024 |
| Idaho | $73.23* | -- | Not required | 2026 |
| Illinois | $112.53 | -- | -- | 2026 |
| Indiana | $275.88 | -- | -- | 2024 |
| Kansas | $260.59 | -- | -- | 2024 |
| Kentucky | $79.40* | -- | -- | 2026 |
| Louisiana | $217.55 | -- | -- | 2026 |
| Massachusetts | $51.64* | -- | -- | 2026 |
| Maine | $190.19 | -- | -- | 2026 |
| Michigan | $176.40 | -- | -- | 2026 |
| Minnesota | $197.09 | -- | -- | 2026 |
| Missouri | $241.54 | -- | Not required | 2022 |
| Mississippi | $191.66 | -- | -- | 2026 |
| Montana | $539.51 | -- | -- | 2026 |
| North Carolina | $214.72 | -- | -- | 2025 |
| North Dakota | $96.50* | -- | Not required | 2026 |
| Nebraska | $296.13 | -- | -- | 2026 |
| New Hampshire | $174.55 | -- | Not required | 2026 |
| New Jersey | $243.88 | -- | Not required | 2026 |
| New Mexico | $318.14 | -- | -- | 2025 |
| Nevada | $240.38 | -- | -- | 2024 |
| New York | $222.65 | -- | -- | 2026 |
| Ohio | $87.33 | -- | -- | 2000 |
| Oklahoma | $206.08 | -- | -- | 2026 |
| Oregon | $72.65* | -- | -- | 2026 |
| South Carolina | $193.51 | -- | -- | 2011 |
| Texas | $216.07* | -- | -- | 2025 |
| Utah | $70.89* | -- | Not required | 2026 |
| Virginia | $60.17 | -- | -- | 2026 |
| Vermont | $73.63 | -- | -- | 2026 |
| Washington | $287.77 | -- | -- | 2026 |
| Wisconsin | $264.23 | -- | -- | 2008 |
| West Virginia | $200.03 | -- | -- | 2026 |
| Wyoming | $59.53 | -- | -- | 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 93571?
45 state Medicaid programs publish a fee-for-service rate for 93571 (coronary flow reserve measurement (FFR), first vessel), ranging from $51.64 in Massachusetts to $539.51 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 93571?
Montana publishes the highest Medicaid rate for 93571 at $539.51. Massachusetts publishes the lowest at $51.64.
Does 93571 require prior authorization under Medicaid?
No publishing state flags 93571 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.