New Hampshire Medicaid rate for CPT 99285
New Hampshire Medicaid pays $103.01 for CPT 99285 in its July 2026 fee-for-service schedule: the 7th-lowest of 42 state Medicaid programs, at 74% of the $138.69 median.
- Non-facility rate
- $103.01
- Rank
- 36 of 42
- vs. state median
- 74%
- vs. NH Medicare
- 61%
What New Hampshire Medicaid publishes for 99285
7th-lowest of 42 · 74% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2023
- Prior authorization
- Not required
6 rate types
- General (HE)
- $186.79
- General (HW + U1)
- $186.79
- General (HW + U2)
- $186.79
- General (HW + U5)
- $186.79
- General (HW + U6)
- $186.79
- General (HW + U7)
- $186.79
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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. New Hampshire |
|---|---|---|
| Massachusetts | $127.50 | +24% |
| Vermont | $138.38 | +34% |
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 New Hampshire is $170.23; New Hampshire Medicaid's rate is 61% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee New Hampshire's full schedule: all 12,538 codes, every published period, and commercial payer rates for 99285.
Book a 15-min Medicaid walkthrough