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Fee-for-service rateAs of January 2026

Kentucky Medicaid rate for CPT 99203

Kentucky Medicaid pays $79.04 for CPT 99203 in its January 2026 fee-for-service schedule: the 13th-lowest of 45 state Medicaid programs, at 88% of the $89.35 median.

Non-facility rate
$79.04
Rank
33 of 45
vs. state median
88%
vs. KY Medicare
71%

What Kentucky Medicaid publishes for 99203

13th-lowest of 45 · 88% of median

13th-lowest of 45 · 88% of median

Schedule
January 2026
Prior authorization
Not published
1 rate type
Standard rate
Facility $60.57

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. DMS Fees & Rates

99203 in neighboring states

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

StateRatevs. Kentucky
Illinois$55.95-29%
Indiana$102.28+29%
Missouri$92.91+18%
Ohio$61.22-23%
Virginia$84.76+7%
West Virginia$81.25+3%

99203 under Medicare

Medicare's 2026 non-facility payment for 99203 in Kentucky is $110.59; Kentucky Medicaid's rate is 71% of that. The national amount before geographic adjustment is $117.571.

See 99203 Medicare rates

See Kentucky's full schedule: all 7,515 codes, every published period, and commercial payer rates for 99203.

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Other Kentucky Medicaid rates