The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 93631. 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
42
Median % of Medicare
--
Rate range
$231.04 - $2,522.23
93631 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $598.73 | -- | -- | 2026 |
| Alabama | $588.00 | -- | -- | 2026 |
| Arkansas | $653.40 | -- | -- | 2026 |
| Arizona | $633.10 | -- | -- | 2020 |
| California | $561.65 | -- | -- | 2026 |
| Colorado | $662.44 | -- | -- | 2026 |
| Connecticut | $422.79 | -- | -- | 2026 |
| District of Columbia | $381.00 | -- | Not required | 2000 |
| Delaware | $385.75* | -- | -- | 2026 |
| Georgia | $616.49 | -- | -- | 2026 |
| Hawaii | $565.96 | -- | -- | 2025 |
| Iowa | $557.02 | -- | -- | 2024 |
| Idaho | $314.23* | -- | Not required | 2026 |
| Illinois | $1,260.49 | -- | -- | 2024 |
| Indiana | $660.91 | -- | -- | 2025 |
| Kentucky | $567.97 | -- | -- | 2026 |
| Louisiana | $558.67 | -- | -- | 2026 |
| Massachusetts | $282.12* | -- | -- | 2026 |
| Maine | $448.39 | -- | -- | 2026 |
| Michigan | $1,221.03 | -- | -- | 2026 |
| Minnesota | $382.86 | -- | -- | 2026 |
| Missouri | $1,488.71 | -- | Required | 2022 |
| Mississippi | $334.27* | -- | -- | 2026 |
| Montana | $2,522.23 | -- | -- | 2026 |
| North Dakota | $413.79* | -- | Not required | 2026 |
| Nebraska | $932.28 | -- | -- | 2026 |
| New Hampshire | $667.38 | -- | Not required | 2026 |
| New Jersey | $367.45 | -- | Not required | 2026 |
| New Mexico | $566.69 | -- | -- | 2025 |
| Nevada | $582.84 | -- | -- | 2024 |
| New York | $517.37 | -- | -- | 2026 |
| Ohio | $515.65 | -- | -- | 2000 |
| Oklahoma | $354.40 | -- | -- | 2026 |
| Oregon | $312.22* | -- | -- | 2026 |
| South Carolina | $493.97 | -- | -- | 2011 |
| Texas | $534.90* | -- | -- | 2025 |
| Utah | $304.45* | -- | Not required | 2026 |
| Virginia | $345.78* | -- | -- | 2010 |
| Washington | $231.04* | -- | -- | 2026 |
| Wisconsin | $646.10 | -- | -- | 2008 |
| West Virginia | $544.43 | -- | -- | 2026 |
| Wyoming | $322.03 | -- | -- | 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 93631?
42 state Medicaid programs publish a fee-for-service rate for 93631 (heart mapping during surgery to locate an arrhythmia), ranging from $231.04 in Washington to $2,522.23 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 93631?
Montana publishes the highest Medicaid rate for 93631 at $2,522.23. Washington publishes the lowest at $231.04.
Does 93631 require prior authorization under Medicaid?
1 of the 42 publishing states flag 93631 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".