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Fee-for-service rateAs of January 2026

Montana Medicaid rate for CPT 99214

Montana Medicaid pays $175.60 for CPT 99214 in its January 2026 fee-for-service schedule: the 3rd-highest of 45 state Medicaid programs, at 173% of the $101.32 median.

Non-facility rate
$175.60
Rank
3 of 45
vs. state median
173%
vs. MT Medicare
129%

What Montana Medicaid publishes for 99214

3rd-highest of 45 · 173% of median

3rd-highest of 45 · 173% 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

99214 in neighboring states

Each state's comparable non-facility rate for 99214 in its current schedule.

StateRatevs. Montana
Idaho$122.69-30%
North Dakota$149.45-15%
South Dakota$127.87-27%
Wyoming$111.54-36%

99214 under Medicare

Medicare's 2026 non-facility payment for 99214 in Montana is $135.60; Montana Medicaid's rate is 129% of that. The national amount before geographic adjustment is $135.608.

See 99214 Medicare rates

See Montana's full schedule: all 10,452 codes, every published period, and commercial payer rates for 99214.

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Other Montana Medicaid rates