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Fee-for-service rateAs of July 2026

Colorado Medicaid rate for CPT 99203

Health First Colorado pays $100.81 for CPT 99203 in its July 2026 fee-for-service schedule: the 16th-highest of 45 state Medicaid programs, at 113% of the $89.35 median.

Non-facility rate
$100.81
Rank
16 of 45
vs. state median
113%
vs. CO Medicare
83%

What Health First Colorado publishes for 99203

16th-highest of 45 · 113% of median

16th-highest of 45 · 113% of median

Schedule
July 2026
In effect since
Jul 1, 2026
Prior authorization
Not published
3 rate types
Family Planning Professional (FP + GT)
$137.00
Family Planning Professional (FP)
$131.57
General (GT)
$105.71

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. HCPF Provider Rates & Fee Schedule

99203 in neighboring states

Each state's comparable non-facility rate for 99203 in its current schedule.

StateRatevs. Colorado
Arizona$74.69-26%
Kansas$84.70-16%
Nebraska$121.29+20%
New Mexico$158.71+57%
Oklahoma$103.08+2%
Utah$94.45-6%
Wyoming$96.90-4%

99203 under Medicare

Medicare's 2026 non-facility payment for 99203 in Colorado is $120.80; Health First Colorado's rate is 83% of that. The national amount before geographic adjustment is $117.571.

See 99203 Medicare rates

See Colorado's full schedule: all 10,098 codes, every published period, and commercial payer rates for 99203.

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Other Health First Colorado rates