The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 93622. 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
$96.12 - $2,331.37
93622 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $291.96* | -- | -- | 2026 |
| Alabama | $125.00* | -- | -- | 2026 |
| Arkansas | $1,287.00 | -- | -- | 2026 |
| Arizona | $1,233.76 | -- | -- | 2020 |
| California | $699.34 | -- | -- | 2026 |
| Colorado | $180.26* | -- | -- | 2026 |
| Connecticut | $303.11 | -- | -- | 2026 |
| District of Columbia | $144.76* | -- | Not required | 2026 |
| Delaware | $160.01* | -- | -- | 2026 |
| Georgia | $736.20* | -- | -- | 2026 |
| Iowa | $99.45 | -- | -- | 2024 |
| Idaho | $130.66* | -- | Not required | 2026 |
| Illinois | $364.49 | -- | -- | 2018 |
| Indiana | $148.31* | -- | -- | 2025 |
| Kansas | $172.81 | -- | -- | 2009 |
| Kentucky | $150.72* | -- | -- | 2026 |
| Louisiana | $731.60 | -- | -- | 2026 |
| Massachusetts | $122.32* | -- | -- | 2026 |
| Maine | $111.65* | -- | -- | 2026 |
| Michigan | $318.86 | -- | -- | 2026 |
| Minnesota | $159.52 | -- | -- | 2026 |
| Missouri | $336.13 | -- | Not required | 2017 |
| Mississippi | $138.54* | -- | -- | 2026 |
| Montana | $1,057.48 | -- | -- | 2026 |
| North Carolina | $246.87 | -- | -- | 2025 |
| North Dakota | $172.35* | -- | Not required | 2026 |
| Nebraska | $1,809.72 | -- | -- | 2026 |
| New Hampshire | $605.89 | -- | Not required | 2026 |
| New Jersey | $145.57 | -- | Not required | 2026 |
| New Mexico | $241.52 | -- | -- | 2025 |
| Nevada | $305.96 | -- | -- | 2024 |
| New York | $1,759.64 | -- | -- | 2026 |
| Ohio | $828.73 | -- | -- | 2000 |
| Oklahoma | $146.76 | -- | -- | 2026 |
| Oregon | $129.71* | -- | -- | 2026 |
| South Carolina | $109.61* | -- | -- | 2024 |
| Texas | $577.78* | -- | -- | 2025 |
| Utah | $126.09* | -- | Not required | 2026 |
| Virginia | $143.23* | -- | -- | 2008 |
| Vermont | $131.68 | -- | -- | 2026 |
| Washington | $96.12* | -- | -- | 2026 |
| Wisconsin | $2,331.37 | -- | -- | 2008 |
| West Virginia | $121.51* | -- | -- | 2026 |
| Wyoming | $139.85 | -- | -- | 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 93622?
44 state Medicaid programs publish a fee-for-service rate for 93622 (heart electrical study, left ventricle recording (add-on)), ranging from $96.12 in Washington to $2,331.37 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for 93622?
Wisconsin publishes the highest Medicaid rate for 93622 at $2,331.37. Washington publishes the lowest at $96.12.
Does 93622 require prior authorization under Medicaid?
No publishing state flags 93622 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.