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Fee-for-service rateAs of September 2026

Iowa Medicaid rate for CPT 99285

Iowa Medicaid pays a median of $135.92 across its rate types for CPT 99285 in its September 2026 fee-for-service schedule: the 19th-lowest of 42 state Medicaid programs, at 98% of the $138.69 median.

Non-facility rate
$135.92
Rank
24 of 42
vs. state median
98%
vs. IA Medicare
85%

What Iowa Medicaid publishes for 99285

19th-lowest of 42 · 98% of median

19th-lowest of 42 · 98% of median

Schedule
September 2026
In effect since
Jul 1, 2024
$121.64 to $143.10 across 5 rate types
General
$143.10
Provider type 03
$143.10
Provider type 38
$135.92
Provider type 68
$124.24
Provider type 50
$121.64

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

99285 in neighboring states

Each state's comparable non-facility rate for 99285 in its current schedule.

StateRatevs. Iowa
Illinois$121.28-11%
Minnesota$126.21-7%
Missouri$146.64+8%
Nebraska$188.45+39%
South Dakota$160.70+18%
Wisconsin$62.87-54%

99285 under Medicare

Medicare's 2026 non-facility payment for 99285 in Iowa is $159.83; Iowa Medicaid's rate is 85% of that. The national amount before geographic adjustment is $171.347.

See 99285 Medicare rates

See Iowa's full schedule: all 10,139 codes, every published period, and commercial payer rates for 99285.

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Other Iowa Medicaid rates