Colorado Medicaid Fee Schedule (Health First Colorado)
Health First Colorado pays $73.99 for an established-patient office visit (99213): 20th-highest of 45 Medicaid programs, at 104% of the median. Its rates for the most-billed codes are below, ranked against every state.
- Schedule as of
- July 2026
- Codes priced
- 10,098
- 99213 vs. median
- 104% of median
Current Health First Colorado rates for common codes
Each amount is the unmodified non-facility rate in the July 2026 schedule. Where a code appears under more than one rate type, it is the state's ordinary statewide rate when its rules name one, and otherwise the median across rate types. Modifier-specific and facility-only rows are listed separately under the service.
| Code | Service | Non-facility rate | Prior auth |
|---|---|---|---|
| 99213 | Office visit, established patient (low complexity)3 rate types
| $73.99In effect since Jul 1, 202620th-highest of 45 · 104% of median | Not published |
| 99214 | Office visit, established patient (moderate complexity)3 rate types
| $104.54In effect since Jul 1, 202621st-highest of 45 · 103% of median | Not published |
| 99203 | Office visit, new patient (low complexity)3 rate types
| $100.81In effect since Jul 1, 202616th-highest of 45 · 113% of median | Not published |
| 99204 | Office visit, new patient (moderate complexity)3 rate types
| $134.20In effect since Jul 1, 202623rd-highest of 45 · 100% of median | Not published |
| 99285 | Emergency department visit, high severity with threat to function | $140.64In effect since Jul 1, 202618th-highest of 42 · 101% of median | Not published |
Dot: Colorado. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
Colorado is 20th-highest of 45 for 99213. See where all 10,098 Health First Colorado codes rank.
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Compare any other code across state programs. The free view shows a few states per code; Colorado's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering Colorado first, then the largest programs.