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Fee-for-service rateAs of September 2026

Indiana Medicaid rate for CPT 20610

Indiana Health Coverage Programs pays $58.61 for CPT 20610 in its September 2026 fee-for-service schedule: the 16th-highest of 44 state Medicaid programs, at 107% of the $54.825 median.

Non-facility rate
$58.61
Rank
16 of 44
vs. state median
107%
vs. IN Medicare
92%

What Indiana Health Coverage Programs publishes for 20610

16th-highest of 44 · 107% of median

16th-highest of 44 · 107% of median

Schedule
September 2026
In effect since
Jan 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. IHCP Fee Schedules

20610 in neighboring states

Each state's comparable non-facility rate for 20610 in its current schedule.

StateRatevs. Indiana
Illinois$31.80-46%
Kentucky$50.81-13%
Michigan$43.88-25%
Ohio$51.36-12%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in Indiana is $63.75; Indiana Health Coverage Programs's rate is 92% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See Indiana's full schedule: all 12,853 codes, every published period, and commercial payer rates for 20610.

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Other Indiana Health Coverage Programs rates