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Fee-for-service rateAs of July 2026

Illinois Medicaid rate for CPT 99284

Illinois Medicaid pays $83.69 for CPT 99284 in its July 2026 fee-for-service schedule: the 12th-lowest of 42 state Medicaid programs, at 88% of the $95.28 median.

Non-facility rate
$83.69
Rank
31 of 42
vs. state median
88%
vs. IL Medicare
62-68%

What Illinois Medicaid publishes for 99284

12th-lowest of 42 · 88% of median

12th-lowest of 42 · 88% 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

99284 in neighboring states

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

StateRatevs. Illinois
Iowa$86.45+3%
Indiana$110.18+32%
Kentucky$74.05-12%
Missouri$100.99+21%
Wisconsin$43.35-48%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in Illinois is $123.51 to $134.09 across its 4 payment localities; Illinois Medicaid's rate is 62-68% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See Illinois's full schedule: all 9,319 codes, every published period, and commercial payer rates for 99284.

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Other Illinois Medicaid rates