Massachusetts Medicaid rate for CPT 99284
MassHealth pays $87.75 for CPT 99284 in its October 2026 fee-for-service schedule: the 17th-lowest of 42 state Medicaid programs, at 92% of the $95.28 median.
- Non-facility rate
- $87.75
- Rank
- 26 of 42
- vs. state median
- 92%
- vs. MA Medicare
- 71-74%
What MassHealth publishes for 99284
17th-lowest of 42 · 92% of median
- Schedule
- October 2026
- In effect since
- Oct 1, 2026
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. 101 CMR 317.00, Rates for Medicine Services
99284 in neighboring states
Each state's comparable non-facility rate for 99284 in its current schedule.
| State | Rate | vs. Massachusetts |
|---|---|---|
| Connecticut | $73.21 | -17% |
| New Hampshire | $66.21 | -25% |
| Rhode Island | $59.20 | -33% |
| Vermont | $95.23 | +9% |
99284 in every state
Map and ranking of every state program that prices 99284.
Compare 99284 across states99284 under Medicare
Medicare's 2026 non-facility payment for 99284 in Massachusetts is $118.13 to $123.62 across its 2 payment localities; MassHealth's rate is 71-74% of that. The national amount before geographic adjustment is $118.239.
See 99284 Medicare ratesSee Massachusetts's full schedule: all 7,483 codes, every published period, and commercial payer rates for 99284.
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