The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 93598. 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
36
Median % of Medicare
--
Rate range
$37.48 - $189.24
93598 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $50.04 | -- | -- | 2026 |
| Arkansas | $65.57 | -- | -- | 2026 |
| Arizona | $54.76 | -- | -- | 2022 |
| Colorado | $62.98 | -- | -- | 2026 |
| Connecticut | $50.74* | -- | -- | 2026 |
| District of Columbia | $57.58* | -- | Not required | 2026 |
| Delaware | $64.64* | -- | -- | 2026 |
| Georgia | $58.90* | -- | -- | 2026 |
| Idaho | $53.20 | -- | Not required | 2025 |
| Illinois | $43.02 | -- | -- | 2024 |
| Indiana | $61.83* | -- | -- | 2025 |
| Kansas | $47.26* | -- | -- | 2024 |
| Kentucky | $59.13* | -- | -- | 2026 |
| Louisiana | $52.76 | -- | -- | 2026 |
| Massachusetts | $51.06* | -- | -- | 2026 |
| Maine | $46.33* | -- | -- | 2026 |
| Michigan | $176.40 | -- | -- | 2026 |
| Minnesota | $50.17 | -- | -- | 2026 |
| Missouri | $44.51* | -- | Not required | 2022 |
| Montana | $87.60* | -- | -- | 2026 |
| North Dakota | $72.85* | -- | Not required | 2026 |
| Nebraska | $159.57 | -- | -- | 2026 |
| New Hampshire | $37.48 | -- | Not required | 2026 |
| New Mexico | $94.12 | -- | -- | 2025 |
| Nevada | $67.62 | -- | -- | 2024 |
| New York | $46.75 | -- | -- | 2026 |
| Oklahoma | $59.80 | -- | -- | 2026 |
| Oregon | $53.32* | -- | -- | 2026 |
| South Carolina | $57.58 | -- | -- | 2022 |
| Texas | $189.24* | -- | -- | 2025 |
| Utah | $50.94* | -- | Not required | 2026 |
| Virginia | $57.29* | -- | -- | 2026 |
| Vermont | $55.15 | -- | -- | 2026 |
| Washington | $39.18* | -- | -- | 2026 |
| Wisconsin | $45.29 | -- | -- | 2022 |
| West Virginia | $46.60* | -- | -- | 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 93598?
36 state Medicaid programs publish a fee-for-service rate for 93598 (cardiac output measurement, congenital heart cath (add-on)), ranging from $37.48 in New Hampshire to $189.24 in Texas. The full table on this page lists every publishing state's current rate.
Which state pays the most for 93598?
Texas publishes the highest Medicaid rate for 93598 at $189.24. New Hampshire publishes the lowest at $37.48.
Does 93598 require prior authorization under Medicaid?
No publishing state flags 93598 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.