The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99412. 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
16
Median % of Medicare
--
Rate range
$12.13 - $41.24
99412 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $41.24 | -- | -- | 2026 |
| Arizona | $21.72 | -- | -- | 2025 |
| California | $23.27 | -- | -- | 2026 |
| Colorado | $13.07 | -- | -- | 2026 |
| Connecticut | $16.63 | -- | -- | 2008 |
| Kansas | $40.00 | -- | -- | 1992 |
| Kentucky | $19.84 | -- | -- | 2026 |
| Massachusetts | $19.38 | -- | -- | 2026 |
| Maine | $17.25 | -- | -- | 2026 |
| Minnesota | $19.94 | -- | -- | 2026 |
| Missouri | $28.99 | -- | Not required | 2022 |
| Montana | $33.60 | -- | -- | 2026 |
| New Hampshire | $12.13 | -- | Not required | 2026 |
| Nevada | $13.65 | -- | -- | 2022 |
| South Dakota | $31.87 | -- | -- | 2026 |
| West Virginia | $17.32 | -- | -- | 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 99412?
16 state Medicaid programs publish a fee-for-service rate for 99412 (preventive counseling, group, 60 minutes), ranging from $12.13 in New Hampshire to $41.24 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99412?
Alaska publishes the highest Medicaid rate for 99412 at $41.24. New Hampshire publishes the lowest at $12.13.
Does 99412 require prior authorization under Medicaid?
No publishing state flags 99412 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.