Massachusetts Medicaid rate for CPT 99285
MassHealth pays $127.50 for CPT 99285 in its October 2026 fee-for-service schedule: the 15th-lowest of 42 state Medicaid programs, at 92% of the $138.69 median.
- Non-facility rate
- $127.50
- Rank
- 28 of 42
- vs. state median
- 92%
- vs. MA Medicare
- 71-74%
What MassHealth publishes for 99285
15th-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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. Massachusetts |
|---|---|---|
| Connecticut | $106.14 | -17% |
| New Hampshire | $103.01 | -19% |
| Rhode Island | $92.55 | -27% |
| Vermont | $138.38 | +9% |
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in Massachusetts is $171.38 to $179.27 across its 2 payment localities; MassHealth's rate is 71-74% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Massachusetts's full schedule: all 7,483 codes, every published period, and commercial payer rates for 99285.
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