Connecticut Medicaid rate for CPT 99204
Connecticut Medical Assistance Program pays a median of $116.98 across its rate types for CPT 99204 in its October 2026 fee-for-service schedule: the 14th-lowest of 45 state Medicaid programs, at 87% of the $134.20 median.
- Non-facility rate
- $116.98
- Rank
- 32 of 45
- vs. state median
- 87%
- vs. CT Medicare
- 63%
What Connecticut Medical Assistance Program publishes for 99204
14th-lowest of 45 · 87% of median
- Schedule
- October 2026
- In effect since
- Jan 1, 2026
- Prior authorization
- Not required
$103.99 to $199.31 across 4 rate types
- Rate type OBS
- $199.31
- Rate type PED
- $129.98
- General
- $103.99
- Rate type MPH
- $103.99
3 rate types
- Rate type FTM
- Facility $81.54
- Rate type FTO
- Facility $156.29
- Rate type FTP
- Facility $101.93
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. CMAP Provider Fee Schedule Download
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
| State | Rate | vs. Connecticut |
|---|---|---|
| Massachusetts | $128.18 | +10% |
| Rhode Island | $180.87 | +55% |
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 Connecticut is $187.13; Connecticut Medical Assistance Program's rate is 63% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Connecticut's full schedule: all 8,312 codes, every published period, and commercial payer rates for 99204.
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