Florida Medicaid Lab & Imaging Fee Schedule 2026

Florida Medicaid publishes 2,615 lab & imaging procedure rates effective 2026, paying a median 60% of the national Medicare amount for the same services. This page shows published rates for common lab & imaging procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare. It is one category of the Florida Medicaid fee schedule (8 categories).

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The table on this page is a common-procedure sample. The full Florida lab & imaging schedule has 2,615 codes.

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Published codes

2,615

Lab & Imaging procedures on the 2026 schedule

Median % of Medicare

60%

vs national Medicare, GPCI-neutral

PA required

152

codes flagged by the state

Common lab & imaging procedures and what Florida Medicaid pays

A curated sample of recognizable procedures from the 2,615-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.

CodeProcedureFlorida rate% of Medicare
70100Jaw (mandible) X-ray, up to 3 views$23.6858.6%
70110Jaw (mandible) X-ray, 4 or more views$27.2663.3%
70140Facial bone X-ray, under 3 views$21.4167.5%
70150Facial bone X-ray, complete, 3 or more views$29.8063.7%
70160Nasal bone X-ray$23.4462.7%
70200Eye socket X-ray, complete, 4 or more views$30.3364.9%
70210Sinus X-ray, up to 2 views$21.4166.1%
70220Sinus X-ray, 3 or more views$27.0171.6%
70250Skull X-ray, up to 3 views$25.9772.7%
70328Jaw joint (TMJ) X-ray, one side$23.4068.7%
70330Jaw joint (TMJ) X-ray, both sides$33.9863.6%
70360Neck soft tissue X-ray$20.1264.8%
70450CT scan of the head without contrast$82.8777.8%
70480CT scan of the eye socket or inner ear without contrast$123.1377.8%
70486CT scan of the face and sinuses without contrast$99.7577.8%
70491CT scan of neck soft tissue with contrast$142.6177.8%
70551MRI of the brain without contrast$151.9777.8%
70553MRI of the brain without then with contrast$246.5277.8%
71045Chest X-ray, 1 view$14.5157.2%
71046Chest X-ray, 2 views$22.1266.9%
71047Chest X-ray, 3 views$28.1568.5%
71048Chest X-ray, 4 or more views$30.2067%
71100Rib X-ray, one side$23.6865.7%
71101Rib X-ray, one side, with chest view$26.2262.8%
71110Rib X-ray, both sides, 3 views$27.0163.2%

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 * show the schedule's representative published variant.

More Florida Medicaid fee schedules

Lab & Imaging rates in neighboring states

Frequently asked questions

What does Florida Medicaid pay for laboratory tests and imaging?

Florida Medicaid publishes 2,615 lab & imaging procedure rates effective 2026, paying a median 60% of the national Medicare amount for the same services. The schedule covers blood panels, urinalysis, X-rays, CT, MRI, and ultrasound. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.

How do Florida's lab & imaging rates compare with Medicare?

Across lab & imaging codes with a national Medicare comparator, Florida Medicaid pays a median 60% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do lab & imaging services need prior authorization in Florida?

Florida publishes prior-authorization flags on its schedule: 152 lab & imaging codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.

Where do these rates come from?

Directly from Florida's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.