Louisiana Medicaid rate for CPT 99204
Louisiana Medicaid pays $134.57 for CPT 99204 in its July 2026 fee-for-service schedule: the 22nd-highest of 45 state Medicaid programs, at 100% of the $134.20 median.
- Non-facility rate
- $134.57
- Rank
- 22 of 45
- vs. state median
- 100%
- vs. LA Medicare
- 78-80%
What Louisiana Medicaid publishes for 99204
22nd-highest of 45 · 100% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2025
- Prior authorization
- Not required
1 rate type
- Full Service · Ages 10-59 · Female and 1 more (TH)
- $134.57
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. Louisiana Medicaid Fee Schedules
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
| State | Rate | vs. Louisiana |
|---|---|---|
| Arkansas | $95.17 | -29% |
| Mississippi | $147.42 | +10% |
| Texas | $88.35 | -34% |
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 Louisiana is $167.53 to $173.58 across its 2 payment localities; Louisiana Medicaid's rate is 78-80% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Louisiana's full schedule: all 6,901 codes, every published period, and commercial payer rates for 99204.
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