C7512 Medicaid Rate by State

Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed

10 state Medicaid programs publish a fee-for-service rate for C7512 (bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed), ranging from $883.67 in Utah to $1,696.42 in Montana, with a median of 80% of the national Medicare amount.

Every state, kept current

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Publishing states

10

Median % of Medicare

80%

Rate range

$883.67 - $1,696.42

C7512 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$1,611.60*95%--2026
Arizona$939.7755.4%--2026
Kentucky$1,655.9697.6%--2026
Massachusetts$1,201.2270.8%--2026
Michigan$887.2352.3%--2026
Missouri$1,506.48*88.8%Not required2026
Montana$1,696.42100%--2026
North Dakota$976.1957.5%Not required2026
Oregon$1,357.14*80%--2026
Utah$883.67*52.1%Not required2026

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 state-specific services codes

All 33 codes from C7502 to C7565 or every state-specific services code by number.

Frequently asked questions

How much does Medicaid pay for C7512?

10 state Medicaid programs publish a fee-for-service rate for C7512 (bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed), ranging from $883.67 in Utah to $1,696.42 in Montana, with a median of 80% of the national Medicare amount. The full table on this page lists every publishing state's current rate.

Which state pays the most for C7512?

Montana publishes the highest Medicaid rate for C7512 at $1,696.42 (100% of the national Medicare amount). Utah publishes the lowest at $883.67.

Does C7512 require prior authorization under Medicaid?

No publishing state flags C7512 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.