The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 94777. 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
15
Median % of Medicare
--
Rate range
$5.62 - $83.67
94777 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Connecticut | $20.59 | -- | -- | 2026 |
| District of Columbia | $16.68 | -- | Not required | 2012 |
| Illinois | $22.38 | -- | -- | 2026 |
| Michigan | $15.12 | -- | -- | 2026 |
| Minnesota | $23.41 | -- | -- | 2026 |
| Montana | $43.27 | -- | -- | 2026 |
| North Carolina | $67.09 | -- | -- | 2025 |
| Nebraska | $16.99 | -- | -- | 2026 |
| New Jersey | $35.00 | -- | Not required | 2026 |
| New York | $42.42 | -- | -- | 2026 |
| Ohio | $29.19 | -- | -- | 2025 |
| South Carolina | $26.77 | -- | -- | 2017 |
| Texas | $28.67* | -- | -- | 2026 |
| Virginia | $5.62 | -- | -- | 2026 |
| Wisconsin | $83.67 | -- | -- | 2009 |
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 94777?
15 state Medicaid programs publish a fee-for-service rate for 94777 (pediatric home apnea monitoring, review and report), ranging from $5.62 in Virginia to $83.67 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for 94777?
Wisconsin publishes the highest Medicaid rate for 94777 at $83.67. Virginia publishes the lowest at $5.62.
Does 94777 require prior authorization under Medicaid?
No publishing state flags 94777 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.