The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full South Carolina other services schedule has 467 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Published codes
467
Other Services procedures on the 2026 schedule
Median % of Medicare
65.6%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common other services procedures and what South Carolina Medicaid pays
A curated sample of recognizable procedures from the 467-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 | South Carolina rate | % of Medicare |
|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | $99.00 | -- |
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 South Carolina Medicaid fee schedules
- South Carolina physician fee schedule · 6,584 codes
- South Carolina lab & imaging fee schedule · 1,891 codes
- South Carolina dme & supplies fee schedule · 1,486 codes
- South Carolina drugs fee schedule · 788 codes
- South Carolina anesthesia fee schedule · 273 codes
- South Carolina vision fee schedule · 113 codes
Other Services rates in neighboring states
Frequently asked questions
What does South Carolina Medicaid pay for other covered services?
South Carolina Medicaid publishes 467 other services procedure rates effective 2026, paying a median 65.6% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. 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 South Carolina's other services rates compare with Medicare?
Across other services codes with a national Medicare comparator, South Carolina Medicaid pays a median 65.6% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do other services services need prior authorization in South Carolina?
South Carolina does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from South Carolina'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 South Carolina changes these rates.