D6243 Medicaid reimbursement rate by state (2026)
Dental services. Medicaid pays a median of $720.99 for D6243 across 5 states, from $388.93 in Iowa to $1,025.60 in Missouri.
- States publishing
- 5
- National median
- $720.99units vary by state
- Lowest
- $388.93Iowa
- Highest
- $1,025.60Missouri
What does Medicaid pay for D6243?
5 state Medicaid programs publish a fee-for-service rate for D6243. The national median is $720.99 (units differ between states). Missouri pays the most, $1,025.60, and Iowa the least, $388.93, a 2.6x spread.
D6243 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for D6243?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $720.99. Missouri pays the most ($1,025.60) and Iowa the least ($388.93).
Which state pays the highest Medicaid rate for D6243?
Missouri, at $1,025.60, effective 2022-07-01.
Do managed-care plans pay the same rate for D6243?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.