Kentucky Medicaid rate for CPT 99204
Kentucky Medicaid pays $112.27 for CPT 99204 in its January 2026 fee-for-service schedule: the 11th-lowest of 45 state Medicaid programs, at 84% of the $134.20 median.
- Non-facility rate
- $112.27
- Rank
- 35 of 45
- vs. state median
- 84%
- vs. KY Medicare
- 67%
What Kentucky Medicaid publishes for 99204
11th-lowest of 45 · 84% of median
- Schedule
- January 2026
- Prior authorization
- Not published
1 rate type
- Standard rate
- Facility $102.79
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
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 Kentucky is $167.52; Kentucky Medicaid's rate is 67% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Kentucky's full schedule: all 7,515 codes, every published period, and commercial payer rates for 99204.
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