See my blog Feb 16 2026
I need to identify the eight states with the largest populations, which likely include CA, TX, FL, NY, PA, IL, OH, and GA. I'll confirm with a web search. Then, I’ll look up the Medicaid FFS fee schedule for CPT 81420 in each of these states and provide citations. No widgets, just table output likely.
I need to confirm the Medicaid lab fee for CPT 81420 across states like Texas, Florida, New York, and so on. I know Florida’s rate is $409.89, but New York shows a "BR" (by report) fee, meaning manual review instead of a fixed amount. I'll check the XLS if possible.
I already have Florida's rate. Now, I need Texas’ rate, which might be in the TMHP static fee schedule, either in Excel or PDF. I’ll look for the "Static Fee Schedules" link on the website to locate this information. Let's navigate and find it!
I need to click on the link identified by ID 3 for the "Static
I need to find the file for the Laboratory Independent or Clinical lab, possibly under ID 84. I’ll click on the Excel link for "LABORATORY INDEPENDENT" with ID 84. It might prompt a download, but I’ll check it to get the relevant fee details. Let's go ahead and click!
It seems clicking the image for the file isn't working, so I’ll try clicking the PDF link instead—maybe ID 85. If that doesn’t work, I could use the "Fee Search" function directly on the site to search for CPT 81420. Let’s try Fee Search from the home page, ID 4.
This form is tricky since I can’t submit it interactively. The web tool may not be able to fill it either, so the next best step is to search directly for the static schedule PDF. I’ll check for "PRCR429C 81420" to find relevant details. Let’s search the web!
It’s tough to locate the Texas rate, but it might be in the TMHP static fee schedule PDF for independent labs under PRCR429C. I can try to guess the URL pattern or specifically search for "PRCR429C pdf" to see if I can find it directly. Let’s give this a try!
It seems the search engine isn't indexing properly. So, I'll go ahead and use the static page directly. It probably has download links, though some might not be visible. I’ll search for “PRCR429C” and see if I can find a link nearby. Let's check this out.
The page stripped the links, but I can see that the images represent links with IDs 84 and 85. However, clicking them leads to a GIF, not the actual file I need. It looks like I should try clicking ID 85 to see if it brings me the right file this time.
It seems like the tool can’t fetch the image resources due to a 400 error. The link might be hidden inside an anchor tag in the HTML, but the tool doesn’t show it. I’ll try opening the page with raw data or a specific URL format, like "view-source:" to see if I can find it manually.
I can't directly obtain the URL for the file, so I may need to note that we’re unable to download it automatically from TMHP due to site restrictions. We can, however, provide information for Texas with an approximation. Next, I’ll search Medicaid laboratory fee schedules for other states like PA, IL, OH, and GA.
I found the Ohio PDF with a possible rate of $601.75, but I need to check specific columns to confirm the CPT 81420 rate. For Georgia, the "Lab Max Allowable" PDF has the rate for 2026, and for Illinois, I'm looking for the Lab Rates PDF, too. I'll confirm fee details for Pennsylvania using the bulletin. Time to open these PDFs and gather the info!
It seems like I need to click the link for the GA "Lab Max Allowable" PDF, but it's not displaying clearly. I should try clicking around on the page or find the link ID near line 77. I’ll look for the term "Lab Max Allowable" to guide me toward the right link.
I think I need to click the "Lab Max Allowable" link on the GA page, but it's tricky since there’s not a clear ID visible. Maybe I'll try clicking around the row or on the title itself, possibly between rows 74-82. Inspecting how it's rendered might help me find the right spot to click.
I’m still not seeing any clear link IDs. It might be that the title isn't clickable because of how they're rendered. I could try to click around line 78, but the issue could be with JavaScript or hidden IDs. Maybe a direct query or a zipped fee schedule could help, but it’s tricky.
I found that the PDF could be behind a POST request, so direct access might need a session. The potential link could follow a specific path, but it's hard to inspect. I’ll note difficulties, especially with TX and GA, where portals don't allow direct access. For IL, I'll click and explore further.
The Illinois lab rates PDF is outdated, as it doesn’t include code 81420, so I’ll focus on finding the latest practitioner fee schedule instead. The 2025 version seems like the right source. I’ll click on the link and search for code 81420 within the document.
I need to find code 81420 in the Illinois practitioner fee schedule PDF. I’ll search within the document for that specific code using the pattern "81420" to narrow down the results and locate it more efficiently.
I found the Illinois rate for code 81420 at 531.34, with a reduced rate of 516.99. For New York and Florida, the rates are 409.89 and 601.75 respectively. I'll use these figures, noting independent lab versus practitioner distinctions. Now, I’ll check Ohio’s lab payment document to understand the columns and headers.
I’ll include the California fee schedule as “already have CA” for completeness, referencing it from the prior session. To ensure thoroughness, I’ll search for the census population ranking to cite the largest states. No need to reopen California, as it’s already noted earlier.
I’m ready to cite the Census population clock for the top 8 states. Now, for the Florida fee schedule, I’ll search the document for code 81420 using a pattern search. I need to locate it within the Florida PDF to confirm the relevant fee details.
I’m wondering if the PDF text might have line breaks that prevent code 81420 from appearing consistently. I did see a snippet for 81411 and 81420 near line 1079 — I'll open around lines 1070 to double
It seems the FL PDF from flrules might be blocked now. I’ll instead search for the Florida AHCA fee schedule PDF, which is more accessible. I need to find the 81420 code listed as 409.89. Let's try searching again and see if the info comes through from this source.
Done
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