The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 95712. 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
35
Median % of Medicare
--
Rate range
$67.50 - $485.22
95712 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $206.25 | -- | -- | 2026 |
| Arkansas | $179.72 | -- | -- | 2026 |
| Arizona | $191.73 | -- | -- | 2021 |
| California | $373.12 | -- | -- | 2026 |
| Colorado | $283.49 | -- | -- | 2026 |
| Connecticut | $301.45 | -- | -- | 2026 |
| Delaware | $248.04 | -- | -- | 2026 |
| Georgia | $232.77 | -- | -- | 2026 |
| Iowa | $321.25 | -- | -- | 2024 |
| Idaho | $339.59 | -- | Not required | 2025 |
| Illinois | $147.76 | -- | -- | 2020 |
| Indiana | $439.75 | -- | -- | 2025 |
| Kansas | $285.84 | -- | -- | 2024 |
| Louisiana | $450.00 | -- | -- | 2026 |
| Michigan | $251.33 | -- | -- | 2026 |
| Minnesota | $394.69 | -- | -- | 2026 |
| Missouri | $336.38 | -- | Not required | 2026 |
| Mississippi | $466.41 | -- | -- | 2026 |
| North Carolina | $176.52 | -- | -- | 2025 |
| New Jersey | $246.40 | -- | Not required | 2026 |
| New Mexico | $253.10 | -- | -- | 2026 |
| Nevada | $423.73 | -- | -- | 2024 |
| New York | $67.50 | -- | -- | 2026 |
| Ohio | $389.27 | -- | -- | 2021 |
| Oklahoma | $485.22 | -- | -- | 2026 |
| Pennsylvania | $400.00 | -- | -- | 2020 |
| Rhode Island | $320.66 | -- | -- | 2026 |
| South Carolina | $179.92 | -- | -- | 2020 |
| Texas | $408.78* | -- | -- | 2025 |
| Utah | $213.08* | -- | Not required | 2021 |
| Virginia | $162.14 | -- | -- | 2026 |
| Washington | $447.46 | -- | -- | 2026 |
| Wisconsin | $202.48 | -- | -- | 2020 |
| West Virginia | $389.08 | -- | -- | 2026 |
| Wyoming | $232.06 | -- | -- | 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 95712?
35 state Medicaid programs publish a fee-for-service rate for 95712 (long-term video EEG, 2-12 hours, intermittent monitor), ranging from $67.50 in New York to $485.22 in Oklahoma. The full table on this page lists every publishing state's current rate.
Which state pays the most for 95712?
Oklahoma publishes the highest Medicaid rate for 95712 at $485.22. New York publishes the lowest at $67.50.
Does 95712 require prior authorization under Medicaid?
No publishing state flags 95712 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.