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Fee-for-service rateAs of October 2026

Idaho Medicaid rate for CPT 20610

Idaho Medicaid pays $54.80 for CPT 20610 in its October 2026 fee-for-service schedule: the 22nd-lowest of 44 state Medicaid programs, at 100% of the $54.825 median.

Non-facility rate
$54.80
Rank
23 of 44
vs. state median
100%
vs. ID Medicare
86%

What Idaho Medicaid publishes for 20610

22nd-lowest of 44 · 100% of median

22nd-lowest of 44 · 100% of median

Schedule
October 2026
In effect since
Jul 1, 2026
Prior authorization
Not required
1 rate type
ASC Facility
Facility $33.11712

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. Idaho Medicaid Fee Schedule

20610 in neighboring states

Each state's comparable non-facility rate for 20610 in its current schedule.

StateRatevs. Idaho
Montana$88.87+62%
Nevada$48.44-12%
Oregon$54.85+0%
Utah$54.95+0%
Washington$41.47-24%
Wyoming$56.08+2%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in Idaho is $63.42; Idaho Medicaid's rate is 86% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See Idaho's full schedule: all 12,409 codes, every published period, and commercial payer rates for 20610.

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Other Idaho Medicaid rates