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Fee-for-service rateAs of September 2026

Indiana Medicaid rate for CPT 99284

Indiana Health Coverage Programs pays $110.18 for CPT 99284 in its September 2026 fee-for-service schedule: the 11th-highest of 42 state Medicaid programs, at 116% of the $95.28 median.

Non-facility rate
$110.18
Rank
11 of 42
vs. state median
116%
vs. IN Medicare
99%

What Indiana Health Coverage Programs publishes for 99284

11th-highest of 42 · 116% of median

11th-highest of 42 · 116% 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

99284 in neighboring states

Each state's comparable non-facility rate for 99284 in its current schedule.

StateRatevs. Indiana
Illinois$83.69-24%
Kentucky$74.05-33%
Ohio$62.91-43%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in Indiana is $111.13; Indiana Health Coverage Programs's rate is 99% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See Indiana's full schedule: all 12,853 codes, every published period, and commercial payer rates for 99284.

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Other Indiana Health Coverage Programs rates