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Fee-for-service rateAs of October 2026

Arizona Medicaid rate for CPT 99214

AHCCCS pays a median of $85.81 across its rate types for CPT 99214 in its October 2026 fee-for-service schedule: the 13th-lowest of 45 state Medicaid programs, at 85% of the $101.32 median.

Non-facility rate
$85.81
Rank
33 of 45
vs. state median
85%
vs. AZ Medicare
65%

What AHCCCS publishes for 99214

13th-lowest of 45 · 85% of median

13th-lowest of 45 · 85% of median

Schedule
October 2026
In effect since
Oct 1, 2024
$81.50 to $95.35 across 7 rate types
Provider type 08
$95.35
Provider type 31
$95.35
General
$90.55
Provider type 18
$85.81
Provider type 19
$85.81
Provider type 09
$81.50
Provider type CN
$81.50

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

99214 in neighboring states

Each state's comparable non-facility rate for 99214 in its current schedule.

StateRatevs. Arizona
Colorado$104.54+22%
New Mexico$182.19+112%
Nevada$90.35+5%
Utah$101.32+18%

99214 under Medicare

Medicare's 2026 non-facility payment for 99214 in Arizona is $132.86; AHCCCS's rate is 65% of that. The national amount before geographic adjustment is $135.608.

See 99214 Medicare rates

See Arizona's full schedule: all 7,610 codes, every published period, and commercial payer rates for 99214.

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Other AHCCCS rates