Iowa Medicaid rate for CPT 99204
Iowa Medicaid pays a median of $114.87 across its rate types for CPT 99204 in its September 2026 fee-for-service schedule: the 13th-lowest of 45 state Medicaid programs, at 86% of the $134.20 median.
- Non-facility rate
- $114.87
- Rank
- 33 of 45
- vs. state median
- 86%
- vs. IA Medicare
- 69%
What Iowa Medicaid publishes for 99204
13th-lowest of 45 · 86% of median
- Schedule
- September 2026
- In effect since
- Jul 1, 2024
$100.15 to $117.82 across 6 rate types
- General
- $117.82
- Provider type 03
- $117.82
- Provider type 44
- $117.82
- Provider type 38
- $111.91
- Provider type 68
- $102.29
- Provider type 50
- $100.15
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
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 Iowa is $165.51; Iowa Medicaid's rate is 69% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Iowa's full schedule: all 10,139 codes, every published period, and commercial payer rates for 99204.
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