Kansas Medicaid rate for CPT 99204
Kansas Medical Assistance Program pays $120.26 for CPT 99204 in its October 2026 fee-for-service schedule: the 15th-lowest of 45 state Medicaid programs, at 90% of the $134.20 median.
- Non-facility rate
- $120.26
- Rank
- 31 of 45
- vs. state median
- 90%
- vs. national Medicare
- 68%
What Kansas Medical Assistance Program publishes for 99204
15th-lowest of 45 · 90% of median
- Schedule
- October 2026
- In effect since
- Aug 1, 2024
$90.20 to $120.26 across 3 rate types
- Max Fee
- $120.26
- Max Fee with Adjustment · Exempt Physician · 75% of max fee
- $90.20
- Max Fee with Adjustment · Mid Level Practitioner · 75% of max fee
- $90.20
2 rate types
- Max Fee (TD)
- $110.33
- Max Fee with Adjustment · Exempt Physician · 75% of max fee and 1 more (TD)
- $82.75
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. KMAP Provider Pricing
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 national non-facility payment is $177.359; Kansas Medical Assistance Program's rate is 68% of it.
See 99204 Medicare ratesSee Kansas's full schedule: all 11,545 codes, every published period, and commercial payer rates for 99204.
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