Colorado Medicaid rate for CPT 99204
Health First Colorado pays $134.20 for CPT 99204 in its July 2026 fee-for-service schedule: the 23rd-highest of 45 state Medicaid programs, at 100% of the $134.20 median.
- Non-facility rate
- $134.20
- Rank
- 23 of 45
- vs. state median
- 100%
- vs. CO Medicare
- 74%
What Health First Colorado publishes for 99204
23rd-highest of 45 · 100% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2026
- Prior authorization
- Not published
3 rate types
- Family Planning Professional (FP + GT)
- $205.55
- Family Planning Professional (FP)
- $200.09
- General (GT)
- $139.10
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
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
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 Colorado is $181.93; Health First Colorado's rate is 74% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Colorado's full schedule: all 10,098 codes, every published period, and commercial payer rates for 99204.
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