Arizona Medicaid rate for CPT 99285
AHCCCS pays a median of $152.41 across its rate types for CPT 99285 in its October 2026 fee-for-service schedule: the 13th-highest of 42 state Medicaid programs, at 110% of the $138.69 median.
- Non-facility rate
- $152.41
- Rank
- 13 of 42
- vs. state median
- 110%
- vs. AZ Medicare
- 91%
What AHCCCS publishes for 99285
13th-highest of 42 · 110% of median
- Schedule
- October 2026
- In effect since
- Oct 1, 2026
$144.39 to $160.43 across 6 rate types
- General
- $160.43
- Provider type 08
- $160.43
- Provider type 31
- $160.43
- Provider type 18
- $144.39
- Provider type 19
- $144.39
- Provider type CN
- $144.39
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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. Arizona |
|---|---|---|
| Colorado | $140.64 | -8% |
| New Mexico | $255.43 | +68% |
| Nevada | $176.04 | +16% |
| Utah | $140.13 | -8% |
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in Arizona is $168.36; AHCCCS's rate is 91% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Arizona's full schedule: all 7,610 codes, every published period, and commercial payer rates for 99285.
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