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Fee-for-service rateAs of October 2026

Kansas Medicaid rate for CPT 99285

Kansas Medical Assistance Program pays a median of $73.86 across its rate types for CPT 99285 in its October 2026 fee-for-service schedule: the 2nd-lowest of 42 state Medicaid programs, at 53% of the $138.69 median.

Non-facility rate
$73.86
Rank
41 of 42
vs. state median
53%
vs. national Medicare
43%

What Kansas Medical Assistance Program publishes for 99285

2nd-lowest of 42 · 53% of median

2nd-lowest of 42 · 53% of median

Schedule
October 2026
In effect since
Aug 1, 2024
$73.86 to $98.48 across 3 rate types
Allow 1 Unit
$98.48
Allow 1 Unit with Adjust · Exempt Physician · 75% of max fee
$73.86
Allow 1 Unit with Adjust · Mid Level Practitioner · 75% of max fee
$73.86

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

99285 in neighboring states

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

StateRatevs. Kansas
Colorado$140.64+90%
Missouri$146.64+99%
Nebraska$188.45+155%
Oklahoma$154.91+110%

99285 under Medicare

Medicare's 2026 national non-facility payment is $171.347; Kansas Medical Assistance Program's rate is 43% of it.

See 99285 Medicare rates

See Kansas's full schedule: all 11,545 codes, every published period, and commercial payer rates for 99285.

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Other Kansas Medical Assistance Program rates