Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99453. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
29
Median % of Medicare
78.2%
Rate range
$11.93 - $157.37
99453 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $18.02 | 83% | -- | 2024 |
| California | $17.94 | 82.6% | -- | 2026 |
| Colorado | $16.76 | 77.2% | -- | 2026 |
| Florida | $15.68 | 72.2% | -- | 2026 |
| Hawaii | $22.56 | 103.9% | -- | 2025 |
| Iowa | $14.03 | 64.6% | -- | 2024 |
| Idaho | $17.00 | 78.3% | Not required | 2026 |
| Indiana | $17.91 | 82.5% | Required | 2026 |
| Kentucky | $17.16 | 79% | -- | 2026 |
| Massachusetts | $15.13 | 69.7% | -- | 2026 |
| Michigan | $13.85 | 63.8% | -- | 2026 |
| Minnesota | $17.05 | 78.5% | -- | 2026 |
| Mississippi | $16.75 | 77.2% | -- | 2026 |
| Montana | $27.70 | 127.6% | -- | 2026 |
| North Carolina | $15.71 | 72.4% | -- | 2025 |
| Nebraska | $21.23 | 97.8% | -- | 2026 |
| New Hampshire | $11.93 | 55% | Not required | 2026 |
| New Jersey | $17.58 | 81% | Not required | 2026 |
| New York | $16.98 | 78.2% | -- | 2026 |
| Ohio | $14.30 | 65.9% | -- | 2019 |
| Oregon | $17.56* | 80.9% | -- | 2026 |
| Pennsylvania | $15.96 | 73.5% | -- | 2026 |
| Rhode Island | $157.37 | -- | -- | 2026 |
| Virginia | $15.66* | 72.1% | -- | 2026 |
| Vermont | $18.13 | 83.5% | -- | 2026 |
| Washington | $13.57 | 62.5% | -- | 2026 |
| Wisconsin | $15.02 | 69.2% | -- | 2020 |
| West Virginia | $14.15 | 65.2% | -- | 2026 |
| Wyoming | $17.61 | 81.1% | -- | 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
All 178 codes from 99000 to 99607 or every physician code by number.
Frequently asked questions
How much does Medicaid pay for 99453?
29 state Medicaid programs publish a fee-for-service rate for 99453 (remote monitoring setup and patient education), ranging from $11.93 in New Hampshire to $157.37 in Rhode Island, with a median of 78.2% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99453?
Rhode Island publishes the highest Medicaid rate for 99453 at $157.37. New Hampshire publishes the lowest at $11.93.
Does 99453 require prior authorization under Medicaid?
1 of the 29 publishing states flag 99453 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".