The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99173. 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
36
Median % of Medicare
--
Rate range
$1.81 - $60.00
99173 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $4.71 | -- | -- | 2026 |
| Arkansas | $22.10 | -- | -- | 2026 |
| Arizona | $3.73 | -- | -- | 2024 |
| California | $4.03 | -- | -- | 2026 |
| Colorado | $2.52 | -- | -- | 2026 |
| Connecticut | $10.58 | -- | -- | 2008 |
| District of Columbia | $3.13 | -- | Not required | 2026 |
| Delaware | $22.72 | -- | -- | 2026 |
| Iowa | $1.81 | -- | -- | 2024 |
| Idaho | $25.27 | -- | Not required | 2025 |
| Illinois | $7.25 | -- | -- | 2026 |
| Indiana | $2.88 | -- | -- | 2025 |
| Kansas | $5.00 | -- | -- | 2004 |
| Kentucky | $60.00 | -- | -- | 2026 |
| Louisiana | $2.00 | -- | -- | 2026 |
| Massachusetts | $24.28 | -- | -- | 2025 |
| Maine | $2.15 | -- | -- | 2026 |
| Minnesota | $2.31 | -- | -- | 2026 |
| Mississippi | $2.55 | -- | -- | 2026 |
| Montana | $4.54 | -- | -- | 2026 |
| North Carolina | $8.27 | -- | -- | 2025 |
| North Dakota | $3.38 | -- | Not required | 2026 |
| Nebraska | $2.28 | -- | -- | 2026 |
| New Hampshire | $5.48 | -- | Not required | 2026 |
| New Jersey | $5.00 | -- | Not required | 2026 |
| New Mexico | $36.64 | -- | -- | 2023 |
| Ohio | $2.40 | -- | -- | 2018 |
| Oklahoma | $2.76 | -- | -- | 2026 |
| Pennsylvania | $6.00 | -- | -- | 2023 |
| Utah | $2.45* | -- | Not required | 2026 |
| Virginia | $2.47* | -- | -- | 2014 |
| Vermont | $2.69 | -- | -- | 2026 |
| Washington | $2.10 | -- | -- | 2026 |
| Wisconsin | $19.00 | -- | -- | 2004 |
| West Virginia | $2.20 | -- | -- | 2026 |
| Wyoming | $2.43 | -- | -- | 2024 |
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 99173?
36 state Medicaid programs publish a fee-for-service rate for 99173 (vision screening test, quantitative), ranging from $1.81 in Iowa to $60.00 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99173?
Kentucky publishes the highest Medicaid rate for 99173 at $60.00. Iowa publishes the lowest at $1.81.
Does 99173 require prior authorization under Medicaid?
No publishing state flags 99173 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.