The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 96902. 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
13
Median % of Medicare
--
Rate range
$9.32 - $40.02
96902 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $40.02 | -- | -- | 2026 |
| Arkansas | $29.70 | -- | -- | 2026 |
| Connecticut | $14.61 | -- | -- | 2008 |
| District of Columbia | $19.42 | -- | Not required | 2026 |
| Delaware | $21.51 | -- | -- | 2026 |
| Idaho | $9.32 | -- | Not required | 2025 |
| Illinois | $10.22 | -- | -- | 2026 |
| Massachusetts | $16.33 | -- | -- | 2026 |
| Minnesota | $16.72 | -- | -- | 2026 |
| Nevada | $20.25 | -- | -- | 2024 |
| Utah | $16.87* | -- | Not required | 2026 |
| West Virginia | $15.37 | -- | -- | 2026 |
| Wyoming | $20.85 | -- | -- | 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 96902?
13 state Medicaid programs publish a fee-for-service rate for 96902 (microscopic hair examination), ranging from $9.32 in Idaho to $40.02 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 96902?
Alaska publishes the highest Medicaid rate for 96902 at $40.02. Idaho publishes the lowest at $9.32.
Does 96902 require prior authorization under Medicaid?
No publishing state flags 96902 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.