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Fee-for-service rateAs of September 2026

Indiana Medicaid rate for CPT 99214

Indiana Health Coverage Programs pays $118.14 for CPT 99214 in its September 2026 fee-for-service schedule: the 13th-highest of 45 state Medicaid programs, at 117% of the $101.32 median.

Non-facility rate
$118.14
Rank
13 of 45
vs. state median
117%
vs. IN Medicare
92%

What Indiana Health Coverage Programs publishes for 99214

13th-highest of 45 · 117% of median

13th-highest of 45 · 117% of median

Schedule
September 2026
In effect since
Jan 1, 2026
Prior authorization
Not required
1 rate type
General (SE)
$118.14

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

99214 in neighboring states

Each state's comparable non-facility rate for 99214 in its current schedule.

StateRatevs. Indiana
Illinois$65.79-44%
Kentucky$67.10-43%
Michigan$86.48-27%
Ohio$70.11-41%

99214 under Medicare

Medicare's 2026 non-facility payment for 99214 in Indiana is $128.33; Indiana Health Coverage Programs's rate is 92% of that. The national amount before geographic adjustment is $135.608.

See 99214 Medicare rates

See Indiana's full schedule: all 12,853 codes, every published period, and commercial payer rates for 99214.

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Other Indiana Health Coverage Programs rates