C7545 Medicaid Rate by State

Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or gallbladder, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, including diagnostic cholangiography(ies) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation

11 state Medicaid programs publish a fee-for-service rate for C7545 (percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or gallbladder, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, including diagnostic cholangiography(ies) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation), ranging from $1,468.67 in Utah to $2,819.48 in Montana, with a median of 80% of the national Medicare amount.

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Publishing states

11

Median % of Medicare

80%

Rate range

$1,468.67 - $2,819.48

C7545 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$2,678.51*95%--2026
Arizona$1,578.1956%--2026
Idaho$2,398.1585.1%Not required2023
Kentucky$2,752.2497.6%--2026
Massachusetts$1,932.1668.5%--2026
Michigan$1,474.5952.3%--2026
Missouri$2,503.79*88.8%Not required2026
Montana$2,819.48100%--2026
North Dakota$1,622.4457.5%Not required2026
Oregon$2,255.58*80%--2026
Utah$1,468.67*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 C7545?

11 state Medicaid programs publish a fee-for-service rate for C7545 (percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or gallbladder, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, including diagnostic cholangiography(ies) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation), ranging from $1,468.67 in Utah to $2,819.48 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 C7545?

Montana publishes the highest Medicaid rate for C7545 at $2,819.48 (100% of the national Medicare amount). Utah publishes the lowest at $1,468.67.

Does C7545 require prior authorization under Medicaid?

No publishing state flags C7545 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.