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Fee-for-service rateAs of July 2026

Illinois Medicaid rate for CPT 90834

Illinois Medicaid pays $62.03 for CPT 90834 in its July 2026 fee-for-service schedule: the 2nd-lowest of 37 state Medicaid programs, at 68% of the $90.95 median.

Non-facility rate
$62.03
Rank
36 of 37
vs. state median
68%
vs. IL Medicare
54-55%

What Illinois Medicaid publishes for 90834

2nd-lowest of 37 · 68% of median

2nd-lowest of 37 · 68% of median

Schedule
July 2026
In effect since
Apr 1, 2024
Prior authorization
Not published

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. HFS Practitioner Fee Schedule

90834 in neighboring states

Each state's comparable non-facility rate for 90834 in its current schedule.

StateRatevs. Illinois
Iowa$55.71-10%
Indiana$101.51+64%
Kentucky$62.90+1%

90834 under Medicare

Medicare's 2026 non-facility payment for 90834 in Illinois is $111.86 to $115.76 across its 4 payment localities; Illinois Medicaid's rate is 54-55% of that. The national amount before geographic adjustment is $113.897.

See 90834 Medicare rates

See Illinois's full schedule: all 9,319 codes, every published period, and commercial payer rates for 90834.

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Other Illinois Medicaid rates