G0476 Medicaid Rate by State

Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test

16 state Medicaid programs publish a fee-for-service rate for G0476 (infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test), ranging from $21.54 in Georgia to $38.21 in Pennsylvania, with a median of 97.5% of the national Medicare amount.

Every state, kept current

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This page shows one representative rate per state for G0476. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

16

Median % of Medicare

97.5%

Rate range

$21.54 - $38.21

G0476 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$35.09100%--2026
Connecticut$33.7096%--2017
District of Columbia$28.0780%Not required2020
Georgia$21.5461.4%--2026
Kentucky$35.09100%--2026
Massachusetts$30.9488.2%--2024
Michigan$29.0582.8%--2026
Minnesota$35.09100%--2020
Missouri$31.58--Not required2026
Montana$35.08100%--2026
North Dakota$35.09100%Not required2026
New Jersey$28.0780%Not required2026
New Mexico$35.09100%--2023
Oregon$28.07*80%--2026
Pennsylvania$38.21----2016
Vermont$34.2197.5%--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 G0476?

16 state Medicaid programs publish a fee-for-service rate for G0476 (infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test), ranging from $21.54 in Georgia to $38.21 in Pennsylvania, with a median of 97.5% of the national Medicare amount. The full table on this page lists every publishing state's current rate.

Which state pays the most for G0476?

Pennsylvania publishes the highest Medicaid rate for G0476 at $38.21. Georgia publishes the lowest at $21.54.

Does G0476 require prior authorization under Medicaid?

No publishing state flags G0476 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.