The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Vermont lab & imaging schedule has 1,880 codes.
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Published codes
1,880
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
97.5%
vs national Medicare, GPCI-neutral
PA required
71
codes flagged by the state
Common lab & imaging procedures and what Vermont Medicaid pays
A curated sample of recognizable procedures from the 1,880-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.
| Code | Procedure | Vermont rate | % of Medicare |
|---|---|---|---|
| 70110 | Jaw (mandible) X-ray, 4 or more views | $36.23 | 84.1% |
| 70140 | Facial bone X-ray, under 3 views | $26.61 | 83.9% |
| 70160 | Nasal bone X-ray | $31.43 | 84% |
| 70220 | Sinus X-ray, 3 or more views | $31.71 | 84% |
| 70360 | Neck soft tissue X-ray | $26.04 | 83.8% |
| 70450 | CT scan of the head without contrast | $89.44 | 83.9% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $132.89 | 83.9% |
| 70486 | CT scan of the face and sinuses without contrast | $107.85 | 84.1% |
| 70491 | CT scan of neck soft tissue with contrast | $154.40 | 84.2% |
| 70551 | MRI of the brain without contrast | $164.17 | 84% |
| 70553 | MRI of the brain without then with contrast | $266.36 | 84% |
| 71045 | Chest X-ray, 1 view | $21.23 | 83.6% |
| 71046 | Chest X-ray, 2 views | $27.74 | 83.9% |
| 71047 | Chest X-ray, 3 views | $34.53 | 84.1% |
| 71048 | Chest X-ray, 4 or more views | $37.79 | 83.8% |
| 71100 | Rib X-ray, one side | $30.29 | 84% |
| 71250 | CT scan of the chest without contrast | $111.38 | 84% |
| 71260 | CT scan of the chest with contrast | $139.98 | 84% |
| 71275 | CT angiography of the chest | $236.08 | 84.1% |
| 72040 | Neck (cervical) spine X-ray, 2-3 views | $33.40 | 84% |
| 72070 | Mid-back (thoracic) spine X-ray, 2 views | $27.74 | 83.9% |
| 72100 | Lower back (lumbar) spine X-ray, 2-3 views | $33.69 | 83.4% |
| 72110 | Lower back (lumbar) spine X-ray, 4 or more views | $44.87 | 84% |
| 72125 | CT scan of the neck (cervical) spine without contrast | $109.68 | 84% |
| 72131 | CT scan of the lower (lumbar) spine without contrast | $109.12 | 84% |
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 Vermont Medicaid fee schedules
- Vermont physician fee schedule · 6,514 codes
- Vermont dme & supplies fee schedule · 1,914 codes
- Vermont drugs fee schedule · 746 codes
- Vermont anesthesia fee schedule · 274 codes
- Vermont other services fee schedule · 271 codes
- Vermont vision fee schedule · 150 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does Vermont Medicaid pay for laboratory tests and imaging?
Vermont Medicaid publishes 1,880 lab & imaging procedure rates effective 2026, paying a median 97.5% 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 Vermont's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, Vermont Medicaid pays a median 97.5% 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 Vermont?
Vermont publishes prior-authorization flags on its schedule: 71 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 Vermont'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.
Get an email the next time Vermont changes these rates.