Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for C7565. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
10
Median % of Medicare
81.5%
Rate range
$1,468.67 - $2,819.48
C7565 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $2,678.51* | 95% | -- | 2026 |
| Arizona | $1,578.19 | 56% | -- | 2026 |
| Kentucky | $2,752.24 | 97.6% | -- | 2026 |
| Massachusetts | $2,298.62 | 81.5% | -- | 2026 |
| Michigan | $1,474.59 | 52.3% | -- | 2026 |
| Missouri | $2,503.79* | 88.8% | Not required | 2026 |
| Montana | $2,819.48 | 100% | -- | 2026 |
| North Dakota | $1,622.44 | 57.5% | Not required | 2026 |
| Oregon | $2,255.58* | 80% | -- | 2026 |
| Utah | $1,468.67* | 52.1% | Not required | 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
- C1716 - Brachytherapy source, non-stranded, gold-198, per source
- C1717 - Brachytherapy source, non-stranded, high dose rate iridium-192, per source
- C1719 - Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
- C2616 - Brachytherapy source, non-stranded, yttrium-90, per source
- C2634 - Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
- C2635 - Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
- C2636 - Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
- C2638 - Brachytherapy source, stranded, iodine-125, per source
All 33 codes from C7502 to C7565 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for C7565?
10 state Medicaid programs publish a fee-for-service rate for C7565 (repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s) less than 3 cm, reducible with removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair), ranging from $1,468.67 in Utah to $2,819.48 in Montana, with a median of 81.5% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for C7565?
Montana publishes the highest Medicaid rate for C7565 at $2,819.48 (100% of the national Medicare amount). Utah publishes the lowest at $1,468.67.
Does C7565 require prior authorization under Medicaid?
No publishing state flags C7565 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.