The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 96376. 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
14
Median % of Medicare
--
Rate range
$7.46 - $24.16
96376 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $15.55 | -- | -- | 2026 |
| District of Columbia | $10.90 | -- | Not required | 2016 |
| Idaho | $14.21 | -- | Not required | 2025 |
| Kansas | $15.00 | -- | -- | 2009 |
| Maine | $8.66 | -- | -- | 2026 |
| Minnesota | $7.46 | -- | -- | 2026 |
| Nebraska | $19.73 | -- | -- | 2026 |
| New Jersey | $21.28 | -- | Not required | 2026 |
| Nevada | $12.18 | -- | -- | 2024 |
| Ohio | $19.51 | -- | -- | 2009 |
| South Carolina | $14.03 | -- | -- | 2017 |
| Texas | $11.76* | -- | -- | 2026 |
| Utah | $14.43* | -- | Not required | 2022 |
| Wisconsin | $24.16 | -- | -- | 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 96376?
14 state Medicaid programs publish a fee-for-service rate for 96376 (iV push, each added same drug or substance (add-on)), ranging from $7.46 in Minnesota to $24.16 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for 96376?
Wisconsin publishes the highest Medicaid rate for 96376 at $24.16. Minnesota publishes the lowest at $7.46.
Does 96376 require prior authorization under Medicaid?
No publishing state flags 96376 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.