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Fee-for-service rateAs of January 2026

Montana Medicaid rate for CPT 20610

Montana Medicaid pays $88.87 for CPT 20610 in its January 2026 fee-for-service schedule: the 4th-highest of 44 state Medicaid programs, at 162% of the $54.825 median.

Non-facility rate
$88.87
Rank
4 of 44
vs. state median
162%
vs. MT Medicare
129%

What Montana Medicaid publishes for 20610

4th-highest of 44 · 162% of median

4th-highest of 44 · 162% of median

Schedule
January 2026
In effect since
Jul 1, 2025
Prior authorization
Not required

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. Montana Medicaid Fee Schedules

20610 in neighboring states

Each state's comparable non-facility rate for 20610 in its current schedule.

StateRatevs. Montana
Idaho$54.80-38%
North Dakota$74.35-16%
South Dakota$63.62-28%
Wyoming$56.08-37%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in Montana is $68.80; Montana Medicaid's rate is 129% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See Montana's full schedule: all 10,452 codes, every published period, and commercial payer rates for 20610.

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Other Montana Medicaid rates