Arizona Medicaid rate for CPT 99204
AHCCCS pays a median of $111.91 across its rate types for CPT 99204 in its October 2026 fee-for-service schedule: the 10th-lowest of 45 state Medicaid programs, at 83% of the $134.20 median.
- Non-facility rate
- $111.91
- Rank
- 36 of 45
- vs. state median
- 83%
- vs. AZ Medicare
- 64%
What AHCCCS publishes for 99204
10th-lowest of 45 · 83% of median
- Schedule
- October 2026
- In effect since
- Oct 1, 2024
$106.28 to $124.35 across 7 rate types
- Provider type 08
- $124.35
- Provider type 31
- $124.35
- General
- $118.09
- Provider type 18
- $111.91
- Provider type 19
- $111.91
- Provider type 09
- $106.28
- Provider type CN
- $106.28
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. AHCCCS Physician Rates
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
| State | Rate | vs. Arizona |
|---|---|---|
| Colorado | $134.20 | +20% |
| New Mexico | $238.74 | +113% |
| Nevada | $170.64 | +52% |
| Utah | $142.78 | +28% |
99204 in every state
Map and ranking of every state program that prices 99204.
Compare 99204 across states99204 under Medicare
Medicare's 2026 non-facility payment for 99204 in Arizona is $173.65; AHCCCS's rate is 64% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Arizona's full schedule: all 7,610 codes, every published period, and commercial payer rates for 99204.
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