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Fee-for-service rateAs of July 2026

Nevada Medicaid rate for CPT 99285

Nevada Medicaid pays a median of $176.04 across its rate types for CPT 99285 in its July 2026 fee-for-service schedule: the 7th-highest of 42 state Medicaid programs, at 127% of the $138.69 median.

Non-facility rate
$176.04
Rank
7 of 42
vs. state median
127%
vs. NV Medicare
104%

What Nevada Medicaid publishes for 99285

7th-highest of 42 · 127% of median

7th-highest of 42 · 127% of median

Schedule
July 2026
In effect since
Jan 1, 2024
$111.18 to $176.04 across 3 rate types
APRN · Rate type DEF
$176.04
Rate type DEF
$176.04
Physician Assistant · Rate type PR1
$111.18

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

99285 in neighboring states

Each state's comparable non-facility rate for 99285 in its current schedule.

StateRatevs. Nevada
Arizona$152.41-13%
Idaho$139.24-21%
Oregon$134.60-24%
Utah$140.13-20%

99285 under Medicare

Medicare's 2026 non-facility payment for 99285 in Nevada is $168.69; Nevada Medicaid's rate is 104% of that. The national amount before geographic adjustment is $171.347.

See 99285 Medicare rates

See Nevada's full schedule: all 9,242 codes, every published period, and commercial payer rates for 99285.

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Other Nevada Medicaid rates