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Fee-for-service rateAs of March 2026

New Mexico Medicaid rate for CPT 99285

New Mexico Medicaid pays $255.43 for CPT 99285 in its March 2026 fee-for-service schedule: the 3rd-highest of 42 state Medicaid programs, at 184% of the $138.69 median.

Non-facility rate
$255.43
Rank
3 of 42
vs. state median
184%
vs. NM Medicare
148%

What New Mexico Medicaid publishes for 99285

3rd-highest of 42 · 184% of median

3rd-highest of 42 · 184% of median

Schedule
March 2026
In effect since
Jan 1, 2025

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. HCA Fee Schedules

99285 in neighboring states

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

StateRatevs. New Mexico
Arizona$152.41-40%
Colorado$140.64-45%
Oklahoma$154.91-39%
Utah$140.13-45%

99285 under Medicare

Medicare's 2026 non-facility payment for 99285 in New Mexico is $172.77; New Mexico Medicaid's rate is 148% of that. The national amount before geographic adjustment is $171.347.

See 99285 Medicare rates

See New Mexico's full schedule: all 9,139 codes, every published period, and commercial payer rates for 99285.

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Other New Mexico Medicaid rates