Rotator Cuff Injuries × medicaid
Rotator Cuff Injuries Treatment Coverage with medicaid
Compare medicaid coverage for 3 treatments commonly used for rotator cuff injuries. Find out what's covered, requirements, and estimated costs.
2 Covered
1 Not Covered
Treatment Options & Coverage
Cortisone Injections
Typically Covered $100-$300 per injection (with insurance copay typically $20-$50)
Requirements: Medical necessity
PRP Injections
Not Covered $500-$2,500 per injection
Physical Therapy
Typically Covered
Prior Auth Required
$75-$150 per session (before insurance)
Requirements: Prior authorization may be required • Visit limits vary by state
Coverage Comparison
Side-by-side comparison of medicaid coverage for rotator cuff injuries treatments.
| Treatment | Covered? | Prior Auth | Est. Cost | Evidence |
|---|---|---|---|---|
| Cortisone Injections | No | $100-$300 per injection (with insurance copay typically $20-$50) | strong | |
| PRP Injections | No | $500-$2,500 per injection | emerging | |
| Physical Therapy | Required | $75-$150 per session (before insurance) | strong |
Recommended Approach
Based on medicaid coverage for rotator cuff injuries, we recommend:
- 1 Start with covered conservative options (physical therapy, oral medications)
- 2 If insufficient relief, progress to injection therapies
- 3 Document treatment history for any prior authorization requirements
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Coverage varies by plan. Contact medicaid to confirm your specific benefits.
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