The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99000. 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
16
Median % of Medicare
--
Rate range
$1.00 - $25.00
99000 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $3.50 | -- | -- | 2026 |
| Arizona | $11.78 | -- | -- | 2020 |
| California | $3.63 | -- | -- | 2026 |
| Colorado | $6.74 | -- | -- | 2026 |
| District of Columbia | $1.00 | -- | Not required | 2016 |
| Iowa | $2.75 | -- | -- | 2024 |
| Indiana | $3.86 | -- | -- | 2024 |
| Maine | $3.85 | -- | -- | 2026 |
| Minnesota | $25.00 | -- | -- | 2007 |
| New Hampshire | $3.29 | -- | Not required | 2026 |
| Nevada | $4.16 | -- | -- | 2020 |
| Texas | $9.31* | -- | -- | 2024 |
| Utah | $4.48* | -- | Not required | 2022 |
| Virginia | $3.68* | -- | -- | 2016 |
| Wisconsin | $3.74 | -- | -- | 2004 |
| Wyoming | $6.45 | -- | -- | 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
- 10021 - Fine needle aspiration biopsy, first lesion, no imaging
- 10060 - Drainage of a skin abscess, simple
- 10061 - Drainage of a skin abscess, complicated or multiple
- 10120 - Removal of a foreign body from tissue, simple
- 10140 - Drainage of a blood or fluid collection under the skin
- 11042 - Wound debridement, skin and tissue below, first 20 sq cm
- 11043 - Wound debridement to muscle, first 20 sq cm
- 11044 - Wound debridement to bone, first 20 sq cm
Frequently asked questions
How much does Medicaid pay for 99000?
16 state Medicaid programs publish a fee-for-service rate for 99000 (specimen handling, office to lab), ranging from $1.00 in District of Columbia to $25.00 in Minnesota. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99000?
Minnesota publishes the highest Medicaid rate for 99000 at $25.00. District of Columbia publishes the lowest at $1.00.
Does 99000 require prior authorization under Medicaid?
No publishing state flags 99000 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.