Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for G0315. 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
$29/mo after the trial. Cancel anytime.
Publishing states
26
Median % of Medicare
--
Rate range
$9.17 - $149.99
G0315 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $12.26 | -- | -- | 2026 |
| Alabama | $13.00 | -- | -- | 2026 |
| Arkansas | $12.21* | -- | -- | 2026 |
| Arizona | $34.82 | -- | -- | 2022 |
| Colorado | $34.84 | -- | -- | 2026 |
| Delaware | $22.10 | -- | -- | 2026 |
| Hawaii | $9.17 | -- | -- | 2025 |
| Iowa | $14.92 | -- | -- | 2024 |
| Idaho | $149.99 | -- | Not required | 2025 |
| Indiana | $36.73 | -- | -- | 2025 |
| Kansas | $10.00 | -- | -- | 2022 |
| Massachusetts | $29.43 | -- | -- | 2026 |
| Maine | $35.81 | -- | -- | 2026 |
| Missouri | $25.38 | -- | Not required | 2021 |
| Mississippi | $54.34 | -- | -- | 2026 |
| North Carolina | $30.77 | -- | -- | 2025 |
| North Dakota | $43.40 | -- | Not required | 2026 |
| Nebraska | $31.45 | -- | -- | 2026 |
| New Hampshire | $18.40 | -- | Not required | 2026 |
| New Jersey | $19.38 | -- | Not required | 2026 |
| New Mexico | $26.42 | -- | -- | 2025 |
| Nevada | $25.71 | -- | -- | 2024 |
| Pennsylvania | $10.00 | -- | -- | 2023 |
| Texas | $32.28* | -- | -- | 2024 |
| Utah | $30.29* | -- | Not required | 2023 |
| Wisconsin | $14.46 | -- | -- | 2023 |
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 G0315?
26 state Medicaid programs publish a fee-for-service rate for G0315 (immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)), ranging from $9.17 in Hawaii to $149.99 in Idaho. The full table on this page lists every publishing state's current rate.
Which state pays the most for G0315?
Idaho publishes the highest Medicaid rate for G0315 at $149.99. Hawaii publishes the lowest at $9.17.
Does G0315 require prior authorization under Medicaid?
No publishing state flags G0315 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.