The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99394. 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
47
Median % of Medicare
--
Rate range
$20.00 - $201.42
99394 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $201.42 | -- | -- | 2026 |
| Alabama | $88.00* | -- | -- | 2026 |
| Arkansas | $61.01 | -- | -- | 2026 |
| Arizona | $103.32 | -- | -- | 2024 |
| California | $126.83 | -- | -- | 2026 |
| Colorado | $102.03 | -- | -- | 2026 |
| Connecticut | $127.59 | -- | -- | 2026 |
| District of Columbia | $106.55 | -- | Not required | 2026 |
| Delaware | $116.08 | -- | -- | 2026 |
| Florida | $58.83 | -- | -- | 2026 |
| Georgia | $116.82* | -- | -- | 2026 |
| Hawaii | $83.70 | -- | -- | 2025 |
| Iowa | $78.19 | -- | -- | 2024 |
| Idaho | $111.59 | -- | Not required | 2025 |
| Illinois | $31.28 | -- | -- | 2026 |
| Indiana | $105.86 | -- | -- | 2025 |
| Kansas | $27.25 | -- | -- | 2024 |
| Kentucky | $89.90 | -- | -- | 2026 |
| Louisiana | $91.01 | -- | -- | 2026 |
| Massachusetts | $90.89 | -- | -- | 2026 |
| Maine | $58.37 | -- | -- | 2010 |
| Michigan | $61.08 | -- | -- | 2026 |
| Minnesota | $92.88 | -- | -- | 2026 |
| Missouri | $24.20 | -- | Not required | 2022 |
| Mississippi | $110.11 | -- | -- | 2026 |
| Montana | $155.21 | -- | -- | 2026 |
| North Carolina | $81.30 | -- | -- | 2025 |
| North Dakota | $131.42 | -- | Not required | 2026 |
| Nebraska | $127.28* | -- | -- | 2026 |
| New Hampshire | $67.95 | -- | Not required | 2026 |
| New Jersey | $84.78 | -- | Not required | 2026 |
| New Mexico | $161.06 | -- | -- | 2025 |
| Nevada | $119.42 | -- | -- | 2024 |
| New York | $99.58 | -- | -- | 2026 |
| Ohio | $66.81 | -- | -- | 2024 |
| Oklahoma | $105.00 | -- | -- | 2026 |
| Pennsylvania | $20.00 | -- | -- | 2023 |
| Rhode Island | $101.35 | -- | -- | 2026 |
| South Carolina | $92.22 | -- | -- | 2024 |
| Texas | $92.40* | -- | -- | 2016 |
| Utah | $90.54* | -- | Not required | 2026 |
| Virginia | $86.01* | -- | -- | 2026 |
| Vermont | $99.46 | -- | -- | 2026 |
| Washington | $83.88* | -- | -- | 2026 |
| Wisconsin | $76.45 | -- | -- | 2024 |
| West Virginia | $81.98 | -- | -- | 2026 |
| Wyoming | $95.60* | -- | -- | 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
- 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 99394?
47 state Medicaid programs publish a fee-for-service rate for 99394 (preventive visit, established patient, age 12-17), ranging from $20.00 in Pennsylvania to $201.42 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99394?
Alaska publishes the highest Medicaid rate for 99394 at $201.42. Pennsylvania publishes the lowest at $20.00.
Does 99394 require prior authorization under Medicaid?
No publishing state flags 99394 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.