The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 93572. 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
44
Median % of Medicare
--
Rate range
$37.39 - $437.01
93572 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $130.85* | -- | -- | 2026 |
| Arkansas | $118.89 | -- | -- | 2026 |
| Arizona | $164.57 | -- | -- | 2020 |
| California | $224.77 | -- | -- | 2026 |
| Colorado | $193.89 | -- | -- | 2026 |
| Connecticut | $120.10 | -- | -- | 2026 |
| District of Columbia | $134.00 | -- | Not required | 2016 |
| Delaware | $71.14* | -- | -- | 2026 |
| Georgia | $214.35 | -- | -- | 2026 |
| Hawaii | $170.28 | -- | -- | 2025 |
| Iowa | $190.80 | -- | -- | 2024 |
| Idaho | $58.16* | -- | Not required | 2026 |
| Illinois | $100.20 | -- | -- | 2024 |
| Indiana | $142.90 | -- | -- | 2024 |
| Kansas | $123.83 | -- | -- | 2024 |
| Kentucky | $62.85* | -- | -- | 2026 |
| Louisiana | $206.33 | -- | -- | 2026 |
| Massachusetts | $37.39* | -- | -- | 2026 |
| Maine | $114.65 | -- | -- | 2026 |
| Michigan | $84.80 | -- | -- | 2026 |
| Minnesota | $115.27 | -- | -- | 2026 |
| Missouri | $123.03 | -- | Not required | 2019 |
| Mississippi | $61.80* | -- | -- | 2026 |
| Montana | $437.01 | -- | -- | 2026 |
| North Carolina | $134.76 | -- | -- | 2025 |
| North Dakota | $76.60* | -- | Not required | 2026 |
| Nebraska | $274.20 | -- | -- | 2026 |
| New Hampshire | $163.88 | -- | Not required | 2026 |
| New Jersey | $63.68 | -- | Not required | 2026 |
| New Mexico | $75.22 | -- | -- | 2025 |
| Nevada | $148.29 | -- | -- | 2024 |
| New York | $132.39 | -- | -- | 2026 |
| Ohio | $73.90 | -- | -- | 2000 |
| Oklahoma | $124.85 | -- | -- | 2026 |
| Oregon | $57.61* | -- | -- | 2026 |
| South Carolina | $119.31 | -- | -- | 2011 |
| Texas | $119.92* | -- | -- | 2025 |
| Utah | $56.13* | -- | Not required | 2026 |
| Virginia | $115.21 | -- | -- | 2009 |
| Vermont | $58.47 | -- | -- | 2026 |
| Washington | $42.62* | -- | -- | 2026 |
| Wisconsin | $163.49 | -- | -- | 2008 |
| West Virginia | $149.02 | -- | -- | 2026 |
| Wyoming | $43.18 | -- | -- | 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 93572?
44 state Medicaid programs publish a fee-for-service rate for 93572 (coronary flow reserve measurement (FFR), each added vessel), ranging from $37.39 in Massachusetts to $437.01 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 93572?
Montana publishes the highest Medicaid rate for 93572 at $437.01. Massachusetts publishes the lowest at $37.39.
Does 93572 require prior authorization under Medicaid?
No publishing state flags 93572 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.