Indiana Medicaid rate for CPT 99204
Indiana Health Coverage Programs pays $153.78 for CPT 99204 in its September 2026 fee-for-service schedule: the 15th-highest of 45 state Medicaid programs, at 115% of the $134.20 median.
- Non-facility rate
- $153.78
- Rank
- 15 of 45
- vs. state median
- 115%
- vs. IN Medicare
- 92%
What Indiana Health Coverage Programs publishes for 99204
15th-highest of 45 · 115% of median
- Schedule
- September 2026
- In effect since
- Jan 1, 2026
- Prior authorization
- Not required
1 rate type
- General (SE)
- $153.78
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
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
99204 in every state
Map and ranking of every state program that prices 99204.
Compare 99204 across states99204 under Medicare
Medicare's 2026 non-facility payment for 99204 in Indiana is $167.22; Indiana Health Coverage Programs's rate is 92% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Indiana's full schedule: all 12,853 codes, every published period, and commercial payer rates for 99204.
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