The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 99606. 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
14
Median % of Medicare
--
Rate range
$10.00 - $45.21
99606 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $43.00 | -- | -- | 2026 |
| Iowa | $20.20 | -- | -- | 2024 |
| Idaho | $31.62 | -- | Not required | 2025 |
| Kansas | $30.00 | -- | -- | 2025 |
| Louisiana | $45.00 | -- | -- | 2026 |
| Michigan | $25.00 | -- | -- | 2026 |
| Minnesota | $34.00 | -- | Conditional | 2008 |
| Missouri | $37.69 | -- | Not required | 2022 |
| Mississippi | $45.21* | -- | -- | 2026 |
| North Dakota | $27.59 | -- | Not required | 2026 |
| New Hampshire | $17.85 | -- | Not required | 2026 |
| New Mexico | $31.97 | -- | -- | 2025 |
| Utah | $32.94* | -- | Not required | 2022 |
| Washington | $10.00* | -- | -- | 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 99606?
14 state Medicaid programs publish a fee-for-service rate for 99606 (pharmacist medication review, established, 15 minutes), ranging from $10.00 in Washington to $45.21 in Mississippi. The full table on this page lists every publishing state's current rate.
Which state pays the most for 99606?
Mississippi publishes the highest Medicaid rate for 99606 at $45.21. Washington publishes the lowest at $10.00.
Does 99606 require prior authorization under Medicaid?
1 of the 14 publishing states flag 99606 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".