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Fee-for-service rateAs of October 2026

Connecticut Medicaid rate for CPT 99285

Connecticut Medical Assistance Program pays $106.14 for CPT 99285 in its October 2026 fee-for-service schedule: the 8th-lowest of 42 state Medicaid programs, at 77% of the $138.69 median.

Non-facility rate
$106.14
Rank
35 of 42
vs. state median
77%
vs. CT Medicare
59%

What Connecticut Medical Assistance Program publishes for 99285

8th-lowest of 42 · 77% of median

8th-lowest of 42 · 77% of median

Schedule
October 2026
In effect since
Jan 1, 2026
Prior authorization
Not required

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

99285 in neighboring states

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

StateRatevs. Connecticut
Massachusetts$127.50+20%
Rhode Island$92.55-13%

99285 under Medicare

Medicare's 2026 non-facility payment for 99285 in Connecticut is $179.06; Connecticut Medical Assistance Program's rate is 59% of that. The national amount before geographic adjustment is $171.347.

See 99285 Medicare rates

See Connecticut's full schedule: all 8,312 codes, every published period, and commercial payer rates for 99285.

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Other Connecticut Medical Assistance Program rates