PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of January 2026

Montana Medicaid rate for CPT 99284

Montana Medicaid pays $163.20 for CPT 99284 in its January 2026 fee-for-service schedule: the 4th-highest of 42 state Medicaid programs, at 171% of the $95.28 median.

Non-facility rate
$163.20
Rank
4 of 42
vs. state median
171%
vs. MT Medicare
138%

What Montana Medicaid publishes for 99284

4th-highest of 42 · 171% of median

4th-highest of 42 · 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

99284 in neighboring states

Each state's comparable non-facility rate for 99284 in its current schedule.

StateRatevs. Montana
Idaho$95.80-41%
North Dakota$125.04-23%
South Dakota$110.48-32%
Wyoming$102.61-37%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in Montana is $118.22; Montana Medicaid's rate is 138% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See Montana's full schedule: all 10,452 codes, every published period, and commercial payer rates for 99284.

Book a 15-min Medicaid walkthrough

Other Montana Medicaid rates