The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 95120. 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
24
Median % of Medicare
--
Rate range
$3.81 - $87.49
95120 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $18.50 | -- | -- | 2026 |
| Alabama | $15.00 | -- | -- | 2026 |
| Arkansas | $6.00 | -- | -- | 2026 |
| Arizona | $17.31 | -- | -- | 2020 |
| Colorado | $12.15 | -- | -- | 2026 |
| Connecticut | $11.39 | -- | -- | 2008 |
| District of Columbia | $8.50 | -- | Not required | 1978 |
| Georgia | $4.70 | -- | -- | 2026 |
| Iowa | $6.17 | -- | -- | 2024 |
| Idaho | $17.31 | -- | Not required | 2025 |
| Illinois | $6.32 | -- | -- | 2026 |
| Indiana | $3.81 | -- | -- | 2025 |
| Kansas | $4.30 | -- | -- | 1987 |
| Louisiana | $7.83 | -- | -- | 2026 |
| Maine | $87.49 | -- | -- | 2026 |
| Minnesota | $9.00 | -- | -- | 2026 |
| Missouri | $6.95 | -- | Not required | 2019 |
| Nebraska | $16.45 | -- | -- | 2026 |
| New Hampshire | $10.95 | -- | Not required | 2026 |
| New Mexico | $8.22 | -- | -- | 2025 |
| Nevada | $17.13 | -- | -- | 2024 |
| Virginia | $4.00* | -- | -- | 1990 |
| Wisconsin | $11.28 | -- | -- | 2008 |
| Wyoming | $7.55 | -- | -- | 2021 |
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 95120?
24 state Medicaid programs publish a fee-for-service rate for 95120 (allergy shot with extract, single injection), ranging from $3.81 in Indiana to $87.49 in Maine. The full table on this page lists every publishing state's current rate.
Which state pays the most for 95120?
Maine publishes the highest Medicaid rate for 95120 at $87.49. Indiana publishes the lowest at $3.81.
Does 95120 require prior authorization under Medicaid?
No publishing state flags 95120 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.