Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for S1040. 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
31
Median % of Medicare
--
Rate range
$541.92 - $3,219.00
S1040 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $2,750.00* | -- | -- | 2026 |
| Colorado | $2,827.80 | -- | Required | 2026 |
| District of Columbia | $2,600.00 | -- | Required | 2013 |
| Florida | $3,219.00 | -- | -- | 2026 |
| Iowa | $2,805.90 | -- | -- | 2025 |
| Idaho | $541.92* | -- | Required | 2025 |
| Illinois | $1,900.19 | -- | -- | 2026 |
| Indiana | $1,879.86 | -- | Required | 2025 |
| Kansas | $3,000.00 | -- | -- | 2021 |
| Louisiana | $2,500.00 | -- | -- | 2026 |
| Massachusetts | $1,848.89 | -- | -- | 2026 |
| Maine | $2,056.67 | -- | -- | 2026 |
| Michigan | $2,030.72 | -- | -- | 2026 |
| Minnesota | $2,872.80 | -- | Conditional | 2025 |
| Missouri | $1,699.87* | -- | Required | 2019 |
| North Carolina | $2,722.44 | -- | -- | 2025 |
| North Dakota | $2,298.64 | -- | Required | 2026 |
| Nebraska | $2,254.83 | -- | -- | 2026 |
| New Hampshire | $2,439.50 | -- | Required | 2026 |
| Nevada | $1,794.71 | -- | -- | 2023 |
| New York | $2,066.40 | -- | -- | 2026 |
| Ohio | $2,000.00 | -- | Not required | 2011 |
| Pennsylvania | $1,957.05 | -- | -- | 2010 |
| South Carolina | $1,918.88* | -- | -- | 2024 |
| Texas | $1,365.00 | -- | -- | 2025 |
| Utah | $1,221.43* | -- | Required | 2010 |
| Virginia | $2,250.00 | -- | -- | 2003 |
| Vermont | $2,254.00 | -- | -- | 2026 |
| Wisconsin | $2,331.08 | -- | -- | 2008 |
| West Virginia | $2,000.00 | -- | -- | 2026 |
| Wyoming | $1,885.65* | -- | Required | 2021 |
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 2 codes from S1015 to S1040 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for S1040?
31 state Medicaid programs publish a fee-for-service rate for S1040 (cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)), ranging from $541.92 in Idaho to $3,219.00 in Florida. The full table on this page lists every publishing state's current rate.
Which state pays the most for S1040?
Florida publishes the highest Medicaid rate for S1040 at $3,219.00. Idaho publishes the lowest at $541.92.
Does S1040 require prior authorization under Medicaid?
10 of the 31 publishing states flag S1040 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".