The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 97602. 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
31
Median % of Medicare
--
Rate range
$7.23 - $180.86
97602 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $97.43 | -- | -- | 2026 |
| Alabama | $25.00 | -- | -- | 2026 |
| Arkansas | $67.65 | -- | -- | 2026 |
| Arizona | $130.17 | -- | -- | 2021 |
| Colorado | $35.70 | -- | -- | 2026 |
| Connecticut | $10.04 | -- | -- | 2008 |
| Delaware | $172.92 | -- | -- | 2026 |
| Georgia | $34.11 | -- | -- | 2026 |
| Hawaii | $20.46 | -- | -- | 2025 |
| Iowa | $33.40 | -- | -- | 2021 |
| Illinois | $27.58 | -- | -- | 2026 |
| Kansas | $17.44 | -- | -- | 2001 |
| Kentucky | $8.26 | -- | -- | 2026 |
| Louisiana | $24.10 | -- | -- | 2026 |
| Maine | $17.03 | -- | -- | 2026 |
| Michigan | $107.20 | -- | -- | 2026 |
| Minnesota | $67.92 | -- | Conditional | 2026 |
| Missouri | $180.86 | -- | Not required | 2026 |
| Mississippi | $152.36 | -- | -- | 2026 |
| North Carolina | $14.63 | -- | -- | 2025 |
| New Hampshire | $15.33 | -- | Not required | 2026 |
| New Mexico | $40.97 | -- | -- | 2025 |
| Nevada | $32.29 | -- | -- | 2025 |
| Oklahoma | $23.64 | -- | -- | 2026 |
| Pennsylvania | $27.00 | -- | -- | 2010 |
| Rhode Island | $80.38 | -- | -- | 2026 |
| South Carolina | $7.23 | -- | -- | 2017 |
| Texas | $27.68* | -- | -- | 2025 |
| Utah | $8.47* | -- | Not required | 2024 |
| Virginia | $31.38 | -- | -- | 2001 |
| Wyoming | $31.92 | -- | -- | 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 97602?
31 state Medicaid programs publish a fee-for-service rate for 97602 (wound care, non-selective debridement, per session), ranging from $7.23 in South Carolina to $180.86 in Missouri. The full table on this page lists every publishing state's current rate.
Which state pays the most for 97602?
Missouri publishes the highest Medicaid rate for 97602 at $180.86. South Carolina publishes the lowest at $7.23.
Does 97602 require prior authorization under Medicaid?
1 of the 31 publishing states flag 97602 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".