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Fee-for-service rateAs of July 2026

Nebraska Medicaid rate for CPT 99204

Nebraska Medicaid pays $182.41 for CPT 99204 in its July 2026 fee-for-service schedule: the 7th-highest of 45 state Medicaid programs, at 136% of the $134.20 median.

Non-facility rate
$182.41
Rank
7 of 45
vs. state median
136%
vs. NE Medicare
110%

What Nebraska Medicaid publishes for 99204

7th-highest of 45 · 136% of median

7th-highest of 45 · 136% of median

Schedule
July 2026
Prior authorization
Not required
1 rate type
General (EP)
$182.41

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. DHHS Provider Rates & Fee Schedules

99204 in neighboring states

Each state's comparable non-facility rate for 99204 in its current schedule.

StateRatevs. Nebraska
Colorado$134.20-26%
Iowa$114.87-37%
Kansas$120.26-34%
Missouri$138.56-24%
South Dakota$166.01-9%
Wyoming$145.21-20%

99204 under Medicare

Medicare's 2026 non-facility payment for 99204 in Nebraska is $166.02; Nebraska Medicaid's rate is 110% of that. The national amount before geographic adjustment is $177.359.

See 99204 Medicare rates

See Nebraska's full schedule: all 8,474 codes, every published period, and commercial payer rates for 99204.

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Other Nebraska Medicaid rates