Michigan Medicaid rate for CPT 99204
Michigan Medicaid pays $113.10 for CPT 99204 in its September 2026 fee-for-service schedule: the 12th-lowest of 45 state Medicaid programs, at 84% of the $134.20 median.
- Non-facility rate
- $113.10
- Rank
- 34 of 45
- vs. state median
- 84%
- vs. MI Medicare
- 63-66%
What Michigan Medicaid publishes for 99204
12th-lowest of 45 · 84% of median
- Schedule
- September 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. MDHHS Practitioner Fee Schedule
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
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 Michigan is $171.22 to $179.97 across its 2 payment localities; Michigan Medicaid's rate is 63-66% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Michigan's full schedule: all 9,255 codes, every published period, and commercial payer rates for 99204.
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