Montana Medicaid rate for CPT 99285
Montana Medicaid pays $236.63 for CPT 99285 in its January 2026 fee-for-service schedule: the 4th-highest of 42 state Medicaid programs, at 171% of the $138.69 median.
- Non-facility rate
- $236.63
- Rank
- 4 of 42
- vs. state median
- 171%
- vs. MT Medicare
- 138%
What Montana Medicaid publishes for 99285
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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. Montana |
|---|---|---|
| Idaho | $139.24 | -41% |
| North Dakota | $181.74 | -23% |
| South Dakota | $160.70 | -32% |
| Wyoming | $148.71 | -37% |
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in Montana is $171.31; Montana Medicaid's rate is 138% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Montana's full schedule: all 10,452 codes, every published period, and commercial payer rates for 99285.
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