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Fee-for-service rateAs of September 2026

Iowa Medicaid rate for CPT 99203

Iowa Medicaid pays a median of $79.33 across its rate types for CPT 99203 in its September 2026 fee-for-service schedule: the 14th-lowest of 45 state Medicaid programs, at 89% of the $89.35 median.

Non-facility rate
$79.33
Rank
32 of 45
vs. state median
89%
vs. IA Medicare
73%

What Iowa Medicaid publishes for 99203

14th-lowest of 45 · 89% of median

14th-lowest of 45 · 89% of median

Schedule
September 2026
In effect since
Oct 1, 2025
$69.16 to $81.37 across 6 rate types
General
$81.37
Provider type 03
$81.37
Provider type 44
$81.37
Provider type 38
$77.28
Provider type 68
$70.64
Provider type 50
$69.16

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. Iowa HHS Fee Schedules

99203 in neighboring states

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

StateRatevs. Iowa
Illinois$55.95-29%
Minnesota$90.52+14%
Missouri$92.91+17%
Nebraska$121.29+53%
South Dakota$110.03+39%
Wisconsin$74.38-6%

99203 under Medicare

Medicare's 2026 non-facility payment for 99203 in Iowa is $109.35; Iowa Medicaid's rate is 73% of that. The national amount before geographic adjustment is $117.571.

See 99203 Medicare rates

See Iowa's full schedule: all 10,139 codes, every published period, and commercial payer rates for 99203.

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Other Iowa Medicaid rates