The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99605. 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
13
Median % of Medicare
--
Rate range
$13.50 - $86.22
99605 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $43.00 | -- | -- | 2026 |
| Iowa | $45.45 | -- | -- | 2024 |
| Idaho | $51.34 | -- | Not required | 2025 |
| Kansas | $40.00 | -- | -- | 2025 |
| Michigan | $50.00 | -- | -- | 2026 |
| Minnesota | $52.00 | -- | -- | 2008 |
| Missouri | $75.00 | -- | Not required | 2021 |
| Mississippi | $86.22* | -- | -- | 2026 |
| North Dakota | $77.27 | -- | Not required | 2026 |
| New Hampshire | $17.85 | -- | Not required | 2026 |
| New Mexico | $30.55 | -- | -- | 2025 |
| Utah | $53.48* | -- | Not required | 2022 |
| Washington | $13.50* | -- | -- | 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 99605?
13 state Medicaid programs publish a fee-for-service rate for 99605 (pharmacist medication review, new patient, 15 minutes), ranging from $13.50 in Washington to $86.22 in Mississippi. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99605?
Mississippi publishes the highest Medicaid rate for 99605 at $86.22. Washington publishes the lowest at $13.50.
Does 99605 require prior authorization under Medicaid?
No publishing state flags 99605 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.