C7556 Medicaid Rate by State

Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance, when performed

11 state Medicaid programs publish a fee-for-service rate for C7556 (bronchoscopy, rigid or flexible, with bronchial alveolar lavage and 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.

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This page shows one representative rate per state for C7556. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

11

Median % of Medicare

80%

Rate range

$883.67 - $1,696.42

C7556 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$1,331.6378.5%--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
West Virginia$1,561.0592%--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 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 C7556?

11 state Medicaid programs publish a fee-for-service rate for C7556 (bronchoscopy, rigid or flexible, with bronchial alveolar lavage and 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 C7556?

Montana publishes the highest Medicaid rate for C7556 at $1,696.42 (100% of the national Medicare amount). Utah publishes the lowest at $883.67.

Does C7556 require prior authorization under Medicaid?

No publishing state flags C7556 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.