New Hampshire Medicaid rate for CPT 99204
New Hampshire Medicaid pays $69.90 for CPT 99204 in its July 2026 fee-for-service schedule: the lowest of 45 state Medicaid programs, at 52% of the $134.20 median.
- Non-facility rate
- $69.90
- Rank
- 45 of 45
- vs. state median
- 52%
- vs. NH Medicare
- 39%
What New Hampshire Medicaid publishes for 99204
Lowest of 45 · 52% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2023
- Prior authorization
- Not required
15 rate types
- General (33)
- $87.75
- General (GY + HE)
- $166.45
- General (GY + HW + U1)
- $166.45
- General (GY + HW + U2)
- $166.45
- General (GY + HW + U5)
- $166.45
- General (GY + HW + U6)
- $166.45
- General (GY + HW + U7)
- $166.45
- General (HE)
- $166.45
- General (HF)
- $252.18
- General (HW + U1)
- $166.45
- General (HW + U2)
- $166.45
- General (HW + U5)
- $166.45
- General (HW + U6)
- $166.45
- General (HW + U7)
- $166.45
- General (U1)
- $252.18
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. NH MMIS Documents & Forms
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
| State | Rate | vs. New Hampshire |
|---|---|---|
| Massachusetts | $128.18 | +83% |
| Vermont | $194.21 | +178% |
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 New Hampshire is $179.74; New Hampshire Medicaid's rate is 39% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee New Hampshire's full schedule: all 12,538 codes, every published period, and commercial payer rates for 99204.
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