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Fee-for-service rateAs of January 2026

Kentucky Medicaid rate for CPT 99284

Kentucky Medicaid pays $74.05 for CPT 99284 in its January 2026 fee-for-service schedule: the 9th-lowest of 42 state Medicaid programs, at 78% of the $95.28 median.

Non-facility rate
$74.05
Rank
34 of 42
vs. state median
78%
vs. KY Medicare
64%

What Kentucky Medicaid publishes for 99284

9th-lowest of 42 · 78% of median

9th-lowest of 42 · 78% of median

Schedule
January 2026
Prior authorization
Not published
1 rate type
Standard rate
Facility $74.05

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

99284 in neighboring states

Each state's comparable non-facility rate for 99284 in its current schedule.

StateRatevs. Kentucky
Illinois$83.69+13%
Indiana$110.18+49%
Missouri$100.99+36%
Ohio$62.91-15%
Virginia$82.68+12%
West Virginia$87.35+18%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in Kentucky is $115.58; Kentucky Medicaid's rate is 64% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See Kentucky's full schedule: all 7,515 codes, every published period, and commercial payer rates for 99284.

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Other Kentucky Medicaid rates