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Fee-for-service rateAs of September 2026

Indiana Medicaid rate for CPT 99203

Indiana Health Coverage Programs pays $102.28 for CPT 99203 in its September 2026 fee-for-service schedule: the 15th-highest of 45 state Medicaid programs, at 114% of the $89.35 median.

Non-facility rate
$102.28
Rank
15 of 45
vs. state median
114%
vs. IN Medicare
93%

What Indiana Health Coverage Programs publishes for 99203

15th-highest of 45 · 114% of median

15th-highest of 45 · 114% of median

Schedule
September 2026
In effect since
Jan 1, 2026
Prior authorization
Not required
1 rate type
General (SE)
$102.28

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

99203 in neighboring states

Each state's comparable non-facility rate for 99203 in its current schedule.

StateRatevs. Indiana
Illinois$55.95-45%
Kentucky$79.04-23%
Michigan$74.98-27%
Ohio$61.22-40%

99203 under Medicare

Medicare's 2026 non-facility payment for 99203 in Indiana is $110.53; Indiana Health Coverage Programs's rate is 93% of that. The national amount before geographic adjustment is $117.571.

See 99203 Medicare rates

See Indiana's full schedule: all 12,853 codes, every published period, and commercial payer rates for 99203.

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Other Indiana Health Coverage Programs rates