Idaho Medicaid rate for CPT 99285
Idaho Medicaid pays $139.24 for CPT 99285 in its October 2026 fee-for-service schedule: the 20th-highest of 42 state Medicaid programs, at 100% of the $138.69 median.
- Non-facility rate
- $139.24
- Rank
- 20 of 42
- vs. state median
- 100%
- vs. ID Medicare
- 86%
What Idaho Medicaid publishes for 99285
20th-highest of 42 · 100% 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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in Idaho is $161.16; Idaho Medicaid's rate is 86% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Idaho's full schedule: all 12,409 codes, every published period, and commercial payer rates for 99285.
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