Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for G0237. 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
21
Median % of Medicare
83.7%
Rate range
$7.03 - $39.06
G0237 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $24.75* | 195% | -- | 2026 |
| California | $12.08 | 95.2% | -- | 2026 |
| Colorado | $13.99 | 110.2% | -- | 2026 |
| District of Columbia | $11.94 | 94.1% | Not required | 2026 |
| Hawaii | $12.81 | 100.9% | -- | 2025 |
| Illinois | $7.03 | 55.4% | -- | 2024 |
| Indiana | $10.30 | 81.2% | Required | 2026 |
| Michigan | $15.45 | -- | -- | 2026 |
| Minnesota | $9.77 | 77% | -- | 2026 |
| Montana | $15.89 | 125.2% | -- | 2026 |
| North Dakota | $13.89 | 109.5% | Not required | 2026 |
| Nebraska | $13.70 | 108% | -- | 2026 |
| New Hampshire | $7.43 | 58.6% | Not required | 2026 |
| New Mexico | $10.20 | 80.4% | -- | 2025 |
| Oregon | $10.28* | 81% | -- | 2026 |
| Rhode Island | $39.06 | -- | -- | 2026 |
| South Carolina | $7.19 | 56.7% | -- | 2024 |
| Utah | $10.92* | -- | Not required | 2016 |
| Vermont | $10.62 | 83.7% | -- | 2026 |
| West Virginia | $8.05 | 63.4% | -- | 2026 |
| Wyoming | $10.11 | 79.7% | -- | 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
All 136 codes from G0008 to G0659 or every physician code by number.
Frequently asked questions
How much does Medicaid pay for G0237?
21 state Medicaid programs publish a fee-for-service rate for G0237 (therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)), ranging from $7.03 in Illinois to $39.06 in Rhode Island, with a median of 83.7% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for G0237?
Rhode Island publishes the highest Medicaid rate for G0237 at $39.06. Illinois publishes the lowest at $7.03.
Does G0237 require prior authorization under Medicaid?
1 of the 21 publishing states flag G0237 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".