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Fee-for-service rateAs of January 2026

Montana Medicaid rate for CPT 99203

Montana Medicaid pays $152.85 for CPT 99203 in its January 2026 fee-for-service schedule: the 4th-highest of 45 state Medicaid programs, at 171% of the $89.35 median.

Non-facility rate
$152.85
Rank
4 of 45
vs. state median
171%
vs. MT Medicare
130%

What Montana Medicaid publishes for 99203

4th-highest of 45 · 171% of median

4th-highest of 45 · 171% 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

99203 in neighboring states

Each state's comparable non-facility rate for 99203 in its current schedule.

StateRatevs. Montana
Idaho$105.65-31%
North Dakota$128.42-16%
South Dakota$110.03-28%
Wyoming$96.90-37%

99203 under Medicare

Medicare's 2026 non-facility payment for 99203 in Montana is $117.56; Montana Medicaid's rate is 130% of that. The national amount before geographic adjustment is $117.571.

See 99203 Medicare rates

See Montana's full schedule: all 10,452 codes, every published period, and commercial payer rates for 99203.

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Other Montana Medicaid rates