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Fee-for-service rateAs of July 2026

Illinois Medicaid rate for CPT 93000

Illinois Medicaid pays $13.64 for CPT 93000 in its July 2026 fee-for-service schedule: the 20th-lowest of 45 state Medicaid programs, at 94% of the $14.55 median.

Non-facility rate
$13.64
Rank
26 of 45
vs. state median
94%
vs. IL Medicare
84-91%

What Illinois Medicaid publishes for 93000

20th-lowest of 45 · 94% of median

20th-lowest of 45 · 94% 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

93000 in neighboring states

Each state's comparable non-facility rate for 93000 in its current schedule.

StateRatevs. Illinois
Iowa$24.36+79%
Indiana$12.97-5%
Kentucky$21.79+60%
Missouri$18.75+37%
Wisconsin$19.20+41%

93000 under Medicare

Medicare's 2026 non-facility payment for 93000 in Illinois is $14.96 to $16.31 across its 4 payment localities; Illinois Medicaid's rate is 84-91% of that. The national amount before geographic adjustment is $15.364.

See 93000 Medicare rates

See Illinois's full schedule: all 9,319 codes, every published period, and commercial payer rates for 93000.

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Other Illinois Medicaid rates