The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 93612. 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
47
Median % of Medicare
--
Rate range
$105.88 - $7,174.34
93612 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $279.16* | -- | -- | 2026 |
| Alabama | $160.00 | -- | -- | 2026 |
| Arkansas | $254.10 | -- | -- | 2026 |
| Arizona | $176.40 | -- | -- | 2020 |
| California | $105.88 | -- | -- | 2026 |
| Colorado | $179.69 | -- | -- | 2026 |
| Connecticut | $145.48 | -- | -- | 2026 |
| District of Columbia | $132.00 | -- | Not required | 2000 |
| Delaware | $152.03* | -- | -- | 2026 |
| Georgia | $214.43 | -- | -- | 2026 |
| Hawaii | $195.76 | -- | -- | 2025 |
| Iowa | $195.55 | -- | -- | 2024 |
| Idaho | $124.47* | -- | Not required | 2026 |
| Illinois | $205.93 | -- | -- | 2024 |
| Indiana | $228.90 | -- | -- | 2024 |
| Kansas | $189.97 | -- | -- | 2024 |
| Kentucky | $199.73 | -- | -- | 2026 |
| Louisiana | $190.48 | -- | -- | 2026 |
| Massachusetts | $114.41* | -- | -- | 2026 |
| Maine | $151.71 | -- | -- | 2026 |
| Michigan | $152.18 | -- | -- | 2026 |
| Minnesota | $158.49 | -- | -- | 2026 |
| Missouri | $204.38 | -- | Required | 2022 |
| Mississippi | $7,174.34 | -- | -- | 2026 |
| Montana | $1,017.39 | -- | -- | 2026 |
| North Carolina | $177.61 | -- | -- | 2025 |
| North Dakota | $164.09* | -- | Not required | 2026 |
| Nebraska | $356.46 | -- | -- | 2026 |
| New Hampshire | $157.69 | -- | Not required | 2026 |
| New Jersey | $167.69 | -- | Not required | 2026 |
| New Mexico | $274.34 | -- | -- | 2025 |
| Nevada | $200.96 | -- | -- | 2024 |
| New York | $179.94 | -- | -- | 2026 |
| Ohio | $179.06 | -- | -- | 2000 |
| Oklahoma | $201.33 | -- | -- | 2026 |
| Oregon | $123.31* | -- | -- | 2026 |
| Pennsylvania | $187.50 | -- | -- | 2012 |
| Rhode Island | $995.65 | -- | -- | 2026 |
| South Carolina | $226.25 | -- | -- | 2011 |
| Texas | $176.39* | -- | -- | 2025 |
| Utah | $119.86* | -- | Not required | 2026 |
| Virginia | $136.00* | -- | -- | 2010 |
| Vermont | $125.29 | -- | -- | 2026 |
| Washington | $159.76 | -- | -- | 2026 |
| Wisconsin | $221.72 | -- | -- | 2008 |
| West Virginia | $212.18 | -- | -- | 2026 |
| Wyoming | $131.51 | -- | -- | 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 93612?
47 state Medicaid programs publish a fee-for-service rate for 93612 (heart lower chamber (ventricular) pacing study), ranging from $105.88 in California to $7,174.34 in Mississippi. The full table on this page lists every publishing state's current rate.
Which state pays the most for 93612?
Mississippi publishes the highest Medicaid rate for 93612 at $7,174.34. California publishes the lowest at $105.88.
Does 93612 require prior authorization under Medicaid?
1 of the 47 publishing states flag 93612 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".