The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99377. 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
12
Median % of Medicare
--
Rate range
$40.31 - $72.27
99377 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $50.00 | -- | -- | 2026 |
| Arizona | $59.80 | -- | -- | 2025 |
| Connecticut | $40.31 | -- | -- | 2008 |
| Louisiana | $54.36 | -- | -- | 2026 |
| Massachusetts | $50.83 | -- | -- | 2026 |
| Minnesota | $54.84 | -- | -- | 2026 |
| Nevada | $72.27 | -- | -- | 2024 |
| Pennsylvania | $41.14 | -- | -- | 2025 |
| Texas | $62.31* | -- | -- | 2023 |
| Virginia | $51.08* | -- | -- | 2026 |
| West Virginia | $49.04 | -- | -- | 2026 |
| Wyoming | $66.13 | -- | -- | 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 99377?
12 state Medicaid programs publish a fee-for-service rate for 99377 (hospice care plan oversight, 15-29 minutes), ranging from $40.31 in Connecticut to $72.27 in Nevada. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99377?
Nevada publishes the highest Medicaid rate for 99377 at $72.27. Connecticut publishes the lowest at $40.31.
Does 99377 require prior authorization under Medicaid?
No publishing state flags 99377 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.