Montana Medicaid rate for CPT 99204
Montana Medicaid pays $229.09 for CPT 99204 in its January 2026 fee-for-service schedule: the 4th-highest of 45 state Medicaid programs, at 171% of the $134.20 median.
- Non-facility rate
- $229.09
- Rank
- 4 of 45
- vs. state median
- 171%
- vs. MT Medicare
- 129%
What Montana Medicaid publishes for 99204
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
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
| State | Rate | vs. Montana |
|---|---|---|
| Idaho | $159.87 | -30% |
| North Dakota | $194.13 | -15% |
| South Dakota | $166.01 | -28% |
| Wyoming | $145.21 | -37% |
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 Montana is $177.34; Montana Medicaid's rate is 129% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Montana's full schedule: all 10,452 codes, every published period, and commercial payer rates for 99204.
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