North Dakota Medicaid rate for CPT 99204
North Dakota Medicaid pays $194.13 for CPT 99204 in its August 2026 fee-for-service schedule: the 6th-highest of 45 state Medicaid programs, at 145% of the $134.20 median.
- Non-facility rate
- $194.13
- Rank
- 6 of 45
- vs. state median
- 145%
- vs. ND Medicare
- 112%
What North Dakota Medicaid publishes for 99204
6th-highest of 45 · 145% of median
- Schedule
- August 2026
- Prior authorization
- Not required
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. ND HHS Fee Schedules
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
| State | Rate | vs. North Dakota |
|---|---|---|
| Minnesota | $136.71 | -30% |
| Montana | $229.09 | +18% |
| South Dakota | $166.01 | -14% |
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 North Dakota is $172.60; North Dakota Medicaid's rate is 112% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee North Dakota's full schedule: all 8,971 codes, every published period, and commercial payer rates for 99204.
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