G0330 Medicaid Rate by State

Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room

16 state Medicaid programs publish a fee-for-service rate for G0330 (facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room), ranging from $182.30 in Louisiana to $1,722.43 in Connecticut, with a median of 93.1% of the national Medicare amount.

Every state, kept current

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This page shows one representative rate per state for G0330. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

16

Median % of Medicare

93.1%

Rate range

$182.30 - $1,722.43

G0330 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$1,205.70----2026
Arkansas$1,406.48*95%--2026
Connecticut$1,722.43116.3%--2023
Kansas$1,722.43116.3%--2023
Kentucky$1,445.1997.6%--2026
Louisiana$182.3012.3%--2026
Massachusetts$1,121.0675.7%--2026
Mississippi$1,115.5675.4%--2025
Montana$826.4555.8%--2025
North Dakota$851.9457.5%Not required2026
Nevada$1,700.00114.8%--2025
Oregon$1,184.40*80%--2026
Texas$1,377.94*93.1%--2024
Utah$1,404.18*94.8%Not required2026
Wisconsin$1,500.00101.3%--2024
West Virginia$1,362.3792%--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

All 136 codes from G0008 to G0659 or every physician code by number.

Frequently asked questions

How much does Medicaid pay for G0330?

16 state Medicaid programs publish a fee-for-service rate for G0330 (facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room), ranging from $182.30 in Louisiana to $1,722.43 in Connecticut, with a median of 93.1% of the national Medicare amount. The full table on this page lists every publishing state's current rate.

Which state pays the most for G0330?

Connecticut publishes the highest Medicaid rate for G0330 at $1,722.43 (116.3% of the national Medicare amount). Louisiana publishes the lowest at $182.30.

Does G0330 require prior authorization under Medicaid?

No publishing state flags G0330 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.