The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 93641. 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
45
Median % of Medicare
--
Rate range
$222.16 - $2,013.77
93641 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $531.67* | -- | -- | 2026 |
| Alabama | $431.00 | -- | -- | 2026 |
| Arkansas | $487.28 | -- | -- | 2026 |
| Arizona | $349.08 | -- | -- | 2020 |
| California | $543.06 | -- | -- | 2026 |
| Colorado | $566.47 | -- | -- | 2026 |
| Connecticut | $405.61 | -- | -- | 2026 |
| District of Columbia | $366.00 | -- | Not required | 2000 |
| Delaware | $291.23* | -- | -- | 2026 |
| Georgia | $588.87 | -- | -- | 2026 |
| Hawaii | $547.26 | -- | -- | 2025 |
| Iowa | $529.76 | -- | -- | 2024 |
| Idaho | $237.66* | -- | Not required | 2026 |
| Illinois | $372.87 | -- | -- | 2024 |
| Indiana | $607.84 | -- | -- | 2024 |
| Kentucky | $571.97 | -- | -- | 2026 |
| Louisiana | $492.27 | -- | -- | 2026 |
| Massachusetts | $222.16* | -- | -- | 2026 |
| Maine | $404.62 | -- | -- | 2026 |
| Michigan | $396.50 | -- | -- | 2026 |
| Minnesota | $417.34 | -- | -- | 2026 |
| Missouri | $537.24 | -- | Required | 2022 |
| Mississippi | $1,092.59 | -- | -- | 2026 |
| Montana | $2,013.77 | -- | -- | 2026 |
| North Carolina | $471.79 | -- | -- | 2025 |
| North Dakota | $313.54* | -- | Not required | 2026 |
| Nebraska | $987.12 | -- | -- | 2026 |
| New Hampshire | $465.58 | -- | Not required | 2026 |
| New Jersey | $494.33 | -- | Not required | 2026 |
| New Mexico | $714.24 | -- | -- | 2025 |
| Nevada | $529.86 | -- | -- | 2024 |
| New York | $485.00 | -- | -- | 2026 |
| Ohio | $503.52 | -- | -- | 2000 |
| Oklahoma | $525.46 | -- | -- | 2026 |
| Oregon | $235.95* | -- | -- | 2026 |
| Pennsylvania | $776.00* | -- | -- | 2010 |
| South Carolina | $461.96 | -- | -- | 2011 |
| Texas | $223.75* | -- | -- | 2025 |
| Utah | $229.54* | -- | Not required | 2026 |
| Virginia | $260.71* | -- | -- | 2011 |
| Vermont | $239.43 | -- | -- | 2026 |
| Washington | $312.86 | -- | -- | 2026 |
| Wisconsin | $582.54 | -- | -- | 2008 |
| West Virginia | $447.16 | -- | -- | 2026 |
| Wyoming | $252.60 | -- | -- | 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 93641?
45 state Medicaid programs publish a fee-for-service rate for 93641 (defibrillator lead and generator test at implant), ranging from $222.16 in Massachusetts to $2,013.77 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 93641?
Montana publishes the highest Medicaid rate for 93641 at $2,013.77. Massachusetts publishes the lowest at $222.16.
Does 93641 require prior authorization under Medicaid?
1 of the 45 publishing states flag 93641 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".