Lab & Imaging codes 70030 to 70559 with Medicaid rates by state

60 lab & imaging codes from 70030 to 70559 carry a published Medicaid rate in ten or more states. The median shown is across those states' unmodified published rates; open a code for the full state-by-state table with percent of Medicare and prior-authorization flags.

CodeDescriptionStatesMedian rate
70030X-ray of the eye for a foreign body48$26.05
70100Jaw (mandible) X-ray, up to 3 views48$31.70
70110Jaw (mandible) X-ray, 4 or more views48$34.47
70120X-ray of the mastoids, under 3 views per side48$30.70
70130X-ray of the mastoids, complete48$49.37
70134X-ray of the inner ear canals, complete48$48.41
70140Facial bone X-ray, under 3 views48$26.84
70150Facial bone X-ray, complete, 3 or more views48$37.74
70160Nasal bone X-ray48$30.07
70200Eye socket X-ray, complete, 4 or more views48$37.84
70210Sinus X-ray, up to 2 views48$25.65
70220Sinus X-ray, 3 or more views48$32.26
70240X-ray of the pituitary socket (sella turcica)48$25.81
70250Skull X-ray, up to 3 views48$29.50
70260X-ray of the skull, complete (4 or more views)48$38.39
70300Dental X-ray, single view48$11.49
70310Dental X-ray, partial mouth48$31.59
70320Dental X-ray, full mouth48$42.26
70328Jaw joint (TMJ) X-ray, one side48$27.37
70330Jaw joint (TMJ) X-ray, both sides48$42.13
70332Jaw joint X-ray with dye (arthrogram), reading48$68.16
70336MRI of the jaw joints45$245.47
70350Orthodontic skull X-ray (cephalogram)48$15.77
70355Panoramic dental X-ray48$16.82
70360Neck soft tissue X-ray48$24.87
70370X-ray of the throat or voice box with fluoroscopy48$78.65
70371Video X-ray speech and swallowing evaluation, complex42$91.70
70380X-ray of a salivary gland for stones48$29.58
70390Salivary gland X-ray with dye, reading48$88.71
70450CT scan of the head without contrast48$100.97
70460CT scan of the head or brain with contrast48$137.87
70470CT scan of the head or brain, without then with contrast48$161.03
70480CT scan of the eye socket or inner ear without contrast48$149.61
70481CT scan of the eye socket, pituitary or ear with contrast48$169.60
70482CT of the eye socket, pituitary or ear, without then with48$197.89
70486CT scan of the face and sinuses without contrast48$118.96
70487CT scan of the face and jaws with contrast48$141.10
70488CT scan of the face and jaws, without then with contrast48$173.13
70490CT scan of the neck soft tissues without contrast48$138.82
70491CT scan of neck soft tissue with contrast48$170.96
70492CT of the neck soft tissues, without then with contrast48$205.11
70496CT angiogram of the head48$256.38
70498CT angiogram of the neck48$256.07
70540MRI of the eye socket, face or neck without contrast48$223.13
70542MRI of the eye socket, face or neck with contrast48$265.05
70543MRI of the eye socket, face or neck, without then with48$334.54
70544MR angiogram of the head without contrast48$211.31
70545MR angiogram of the head with contrast48$223.15
70546MR angiogram of the head, without then with contrast48$323.61
70547MR angiogram of the neck without contrast48$211.79
70548MR angiogram of the neck with contrast48$241.51
70549MR angiogram of the neck, without then with contrast48$348.92
70551MRI of the brain without contrast48$195.23
70552MRI of the brain with contrast48$267.44
70553MRI of the brain without then with contrast48$315.44
70554Functional brain MRI, technologist-administered40$324.51
70555Functional brain MRI, physician-administered testing41$331.25
70557Brain MRI during surgery without contrast44$274.56
70558Brain MRI during surgery with contrast43$204.89
70559Brain MRI during surgery, without then with contrast43$196.49

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. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.