Idaho Medicaid rate for CPT 99204
Idaho Medicaid pays $159.87 for CPT 99204 in its October 2026 fee-for-service schedule: the 13th-highest of 45 state Medicaid programs, at 119% of the $134.20 median.
- Non-facility rate
- $159.87
- Rank
- 13 of 45
- vs. state median
- 119%
- vs. ID Medicare
- 96%
What Idaho Medicaid publishes for 99204
13th-highest of 45 · 119% of median
- Schedule
- October 2026
- In effect since
- Jul 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. Idaho Medicaid 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 Idaho is $166.53; Idaho Medicaid's rate is 96% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Idaho's full schedule: all 12,409 codes, every published period, and commercial payer rates for 99204.
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