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Fee-for-service rateAs of July 2026

Louisiana Medicaid rate for CPT 99213

Louisiana Medicaid pays $72.72 for CPT 99213 in its July 2026 fee-for-service schedule: the 22nd-highest of 45 state Medicaid programs, at 102% of the $71.05 median.

Non-facility rate
$72.72
Rank
22 of 45
vs. state median
102%
vs. LA Medicare
78-81%

What Louisiana Medicaid publishes for 99213

22nd-highest of 45 · 102% of median

22nd-highest of 45 · 102% 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)
$72.72

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

99213 in neighboring states

Each state's comparable non-facility rate for 99213 in its current schedule.

StateRatevs. Louisiana
Arkansas$39.26-46%
Mississippi$78.87+8%
Texas$36.92-49%

99213 under Medicare

Medicare's 2026 non-facility payment for 99213 in Louisiana is $89.46 to $92.72 across its 2 payment localities; Louisiana Medicaid's rate is 78-81% of that. The national amount before geographic adjustment is $95.193.

See 99213 Medicare rates

See Louisiana's full schedule: all 6,901 codes, every published period, and commercial payer rates for 99213.

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Other Louisiana Medicaid rates