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Fee-for-service rateAs of October 2026

Idaho Medicaid rate for CPT 99284

Idaho Medicaid pays $95.80 for CPT 99284 in its October 2026 fee-for-service schedule: the 20th-highest of 42 state Medicaid programs, at 101% of the $95.28 median.

Non-facility rate
$95.80
Rank
20 of 42
vs. state median
101%
vs. ID Medicare
86%

What Idaho Medicaid publishes for 99284

20th-highest of 42 · 101% of median

20th-highest of 42 · 101% 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

99284 in neighboring states

Each state's comparable non-facility rate for 99284 in its current schedule.

StateRatevs. Idaho
Montana$163.20+70%
Nevada$119.85+25%
Oregon$92.73-3%
Utah$96.64+1%
Washington$68.22-29%
Wyoming$102.61+7%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in Idaho is $110.88; Idaho Medicaid's rate is 86% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See Idaho's full schedule: all 12,409 codes, every published period, and commercial payer rates for 99284.

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Other Idaho Medicaid rates