The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99380. 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
10
Median % of Medicare
--
Rate range
$63.25 - $108.44
99380 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $89.85 | -- | -- | 2025 |
| Louisiana | $81.82 | -- | -- | 2026 |
| Massachusetts | $75.43 | -- | -- | 2026 |
| Minnesota | $81.86 | -- | -- | 2026 |
| Nevada | $108.44 | -- | -- | 2024 |
| Texas | $93.63* | -- | -- | 2023 |
| Virginia | $76.13* | -- | -- | 2026 |
| Washington | $63.25 | -- | -- | 2026 |
| West Virginia | $73.44 | -- | -- | 2026 |
| Wyoming | $99.19 | -- | -- | 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 99380?
10 state Medicaid programs publish a fee-for-service rate for 99380 (nursing facility care plan oversight, 30 minutes or more), ranging from $63.25 in Washington to $108.44 in Nevada. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99380?
Nevada publishes the highest Medicaid rate for 99380 at $108.44. Washington publishes the lowest at $63.25.
Does 99380 require prior authorization under Medicaid?
No publishing state flags 99380 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.