Nevada Medicaid rate for CPT 99204
Nevada Medicaid pays a median of $170.64 across its rate types for CPT 99204 in its July 2026 fee-for-service schedule: the 11th-highest of 45 state Medicaid programs, at 127% of the $134.20 median.
- Non-facility rate
- $170.64
- Rank
- 11 of 45
- vs. state median
- 127%
- vs. NV Medicare
- 97%
What Nevada Medicaid publishes for 99204
11th-highest of 45 · 127% of median
- Schedule
- July 2026
- In effect since
- Jan 1, 2024
$107.77 to $170.64 across 3 rate types
- APRN · Rate type DEF
- $170.64
- Rate type DEF
- $170.64
- Physician Assistant · Rate type PR1
- $107.77
2 rate types
- APRN · Rate type DEF and 1 more (U6)
- $85.32
- Physician Assistant · Rate type PR1 (U6)
- $53.89
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. Nevada Medicaid Fee Schedules
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
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 Nevada is $176.10; Nevada Medicaid's rate is 97% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Nevada's full schedule: all 9,242 codes, every published period, and commercial payer rates for 99204.
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