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Fee-for-service rateAs of July 2026

Colorado Medicaid rate for CPT 99285

Health First Colorado pays $140.64 for CPT 99285 in its July 2026 fee-for-service schedule: the 18th-highest of 42 state Medicaid programs, at 101% of the $138.69 median.

Non-facility rate
$140.64
Rank
18 of 42
vs. state median
101%
vs. CO Medicare
82%

What Health First Colorado publishes for 99285

18th-highest of 42 · 101% of median

18th-highest of 42 · 101% of median

Schedule
July 2026
In effect since
Jul 1, 2026
Prior authorization
Not published

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

99285 in neighboring states

Each state's comparable non-facility rate for 99285 in its current schedule.

StateRatevs. Colorado
Arizona$152.41+8%
Kansas$73.86-47%
Nebraska$188.45+34%
New Mexico$255.43+82%
Oklahoma$154.91+10%
Utah$140.13-0%
Wyoming$148.71+6%

99285 under Medicare

Medicare's 2026 non-facility payment for 99285 in Colorado is $170.83; Health First Colorado's rate is 82% of that. The national amount before geographic adjustment is $171.347.

See 99285 Medicare rates

See Colorado's full schedule: all 10,098 codes, every published period, and commercial payer rates for 99285.

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Other Health First Colorado rates