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Fee-for-service rateAs of July 2026

Mississippi Medicaid rate for CPT 99204

Mississippi Medicaid pays $147.42 for CPT 99204 in its July 2026 fee-for-service schedule: the 16th-highest of 45 state Medicaid programs, at 110% of the $134.20 median.

Non-facility rate
$147.42
Rank
16 of 45
vs. state median
110%
vs. MS Medicare
90%

What Mississippi Medicaid publishes for 99204

16th-highest of 45 · 110% of median

16th-highest of 45 · 110% of median

Schedule
July 2026
In effect since
Jul 1, 2026
$147.42 to $163.80 across 2 rate types
Primary Care Physician
$163.80
General
$147.42

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. DOM Fee Schedules & Rates

99204 in neighboring states

Each state's comparable non-facility rate for 99204 in its current schedule.

StateRatevs. Mississippi
Alabama$251.30+70%
Arkansas$95.17-35%
Louisiana$134.57-9%

99204 under Medicare

Medicare's 2026 non-facility payment for 99204 in Mississippi is $163.80; Mississippi Medicaid's rate is 90% of that. The national amount before geographic adjustment is $177.359.

See 99204 Medicare rates

See Mississippi's full schedule: all 6,267 codes, every published period, and commercial payer rates for 99204.

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Other Mississippi Medicaid rates