The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 95199. 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
$29/mo after the trial. Cancel anytime.
Publishing states
10
Median % of Medicare
--
Rate range
$5.10 - $51.98
95199 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $17.89 | -- | -- | 2021 |
| California | $5.10 | -- | -- | 2026 |
| Indiana | $14.53 | -- | -- | 2025 |
| Maine | $17.33 | -- | -- | 2026 |
| Michigan | $15.45 | -- | -- | 2026 |
| Missouri | $26.07 | -- | Not required | 2026 |
| Mississippi | $21.96 | -- | -- | 2026 |
| Montana | $51.98 | -- | -- | 2026 |
| New Mexico | $29.23 | -- | -- | 2026 |
| Rhode Island | $34.15 | -- | -- | 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 95199?
10 state Medicaid programs publish a fee-for-service rate for 95199 (unlisted allergy or immunology service), ranging from $5.10 in California to $51.98 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for 95199?
Montana publishes the highest Medicaid rate for 95199 at $51.98. California publishes the lowest at $5.10.
Does 95199 require prior authorization under Medicaid?
No publishing state flags 95199 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.