Illinois Medicaid rate for CPT 99285
Illinois Medicaid pays $121.28 for CPT 99285 in its July 2026 fee-for-service schedule: the 12th-lowest of 42 state Medicaid programs, at 87% of the $138.69 median.
- Non-facility rate
- $121.28
- Rank
- 31 of 42
- vs. state median
- 87%
- vs. IL Medicare
- 63-68%
What Illinois Medicaid publishes for 99285
12th-lowest of 42 · 87% 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
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 Illinois is $178.48 to $193.15 across its 4 payment localities; Illinois Medicaid's rate is 63-68% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Illinois's full schedule: all 9,319 codes, every published period, and commercial payer rates for 99285.
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