The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99367. 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
21
Median % of Medicare
--
Rate range
$9.86 - $69.75
99367 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $49.08 | -- | -- | 2024 |
| California | $48.26 | -- | -- | 2026 |
| District of Columbia | $40.62 | -- | Not required | 2026 |
| Kansas | $20.80 | -- | -- | 2022 |
| Kentucky | $45.72 | -- | -- | 2026 |
| Louisiana | $9.86 | -- | -- | 2026 |
| Massachusetts | $39.85 | -- | -- | 2026 |
| Maine | $45.57 | -- | -- | 2026 |
| North Carolina | $48.99 | -- | -- | 2025 |
| New Hampshire | $18.40 | -- | Not required | 2026 |
| New Jersey | $28.83 | -- | Not required | 2026 |
| Nevada | $54.56 | -- | -- | 2020 |
| Oklahoma | $42.87 | -- | -- | 2026 |
| South Carolina | $44.43 | -- | -- | 2026 |
| Texas | $42.51* | -- | -- | 2023 |
| Utah | $36.40* | -- | Not required | 2026 |
| Virginia | $33.97* | -- | -- | 2026 |
| Vermont | $50.00 | -- | Required | 2013 |
| Washington | $69.75 | -- | -- | 2026 |
| West Virginia | $33.92 | -- | -- | 2026 |
| Wyoming | $54.63 | -- | -- | 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 99367?
21 state Medicaid programs publish a fee-for-service rate for 99367 (medical team conference by physician, patient not present), ranging from $9.86 in Louisiana to $69.75 in Washington. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99367?
Washington publishes the highest Medicaid rate for 99367 at $69.75. Louisiana publishes the lowest at $9.86.
Does 99367 require prior authorization under Medicaid?
1 of the 21 publishing states flag 99367 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".