The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 98962. 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
18
Median % of Medicare
--
Rate range
$2.79 - $20.22
98962 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $9.15 | -- | -- | 2025 |
| California | $9.77 | -- | -- | 2026 |
| Delaware | $11.61 | -- | -- | 2026 |
| Iowa | $20.22 | -- | -- | 2024 |
| Idaho | $7.82 | -- | Not required | 2025 |
| Indiana | $9.82 | -- | -- | 2025 |
| Kansas | $3.43 | -- | -- | 2023 |
| Kentucky | $8.03 | -- | -- | 2026 |
| Louisiana | $2.79 | -- | -- | 2026 |
| Massachusetts | $8.24 | -- | -- | 2026 |
| Michigan | $4.21 | -- | -- | 2026 |
| Minnesota | $9.26 | -- | -- | 2026 |
| North Dakota | $13.14 | -- | Not required | 2026 |
| New Jersey | $5.05 | -- | Not required | 2026 |
| Nevada | $8.66 | -- | -- | 2025 |
| New York | $12.25 | -- | -- | 2026 |
| Utah | $8.86* | -- | Not required | 2026 |
| West Virginia | $7.56 | -- | -- | 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 98962?
18 state Medicaid programs publish a fee-for-service rate for 98962 (self-management education, group of 5-8, 30 minutes), ranging from $2.79 in Louisiana to $20.22 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for 98962?
Iowa publishes the highest Medicaid rate for 98962 at $20.22. Louisiana publishes the lowest at $2.79.
Does 98962 require prior authorization under Medicaid?
No publishing state flags 98962 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.