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Fee-for-service rateAs of September 2026

Alabama Medicaid rate for CPT 99285

Alabama Medicaid pays $272.74 for CPT 99285 in its September 2026 fee-for-service schedule: the 2nd-highest of 42 state Medicaid programs, at 197% of the $138.69 median.

Non-facility rate
$272.74
Rank
2 of 42
vs. state median
197%
vs. AL Medicare
169%

What Alabama Medicaid publishes for 99285

2nd-highest of 42 · 197% of median

2nd-highest of 42 · 197% of median

Schedule
September 2026
Prior authorization
Not required

Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. Alabama Medicaid Fee Schedules

99285 in neighboring states

Each state's comparable non-facility rate for 99285 in its current schedule.

StateRatevs. Alabama
Georgia$132.41-51%
Mississippi$147.73-46%

99285 under Medicare

Medicare's 2026 non-facility payment for 99285 in Alabama is $161.67; Alabama Medicaid's rate is 169% of that. The national amount before geographic adjustment is $171.347.

See 99285 Medicare rates

See Alabama's full schedule: all 5,928 codes, every published period, and commercial payer rates for 99285.

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Other Alabama Medicaid rates