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Fee-for-service rateAs of October 2026

Idaho Medicaid rate for CPT 99214

Idaho Medicaid pays $122.69 for CPT 99214 in its October 2026 fee-for-service schedule: the 11th-highest of 45 state Medicaid programs, at 121% of the $101.32 median.

Non-facility rate
$122.69
Rank
11 of 45
vs. state median
121%
vs. ID Medicare
96%

What Idaho Medicaid publishes for 99214

11th-highest of 45 · 121% of median

11th-highest of 45 · 121% 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

99214 in neighboring states

Each state's comparable non-facility rate for 99214 in its current schedule.

StateRatevs. Idaho
Montana$175.60+43%
Nevada$90.35-26%
Oregon$108.91-11%
Utah$101.32-17%
Washington$75.72-38%
Wyoming$111.54-9%

99214 under Medicare

Medicare's 2026 non-facility payment for 99214 in Idaho is $127.80; Idaho Medicaid's rate is 96% of that. The national amount before geographic adjustment is $135.608.

See 99214 Medicare rates

See Idaho's full schedule: all 12,409 codes, every published period, and commercial payer rates for 99214.

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Other Idaho Medicaid rates