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Fee-for-service rateAs of January 2026

Ohio Medicaid rate for CPT 99284

Ohio Medicaid pays $62.91 for CPT 99284 in its January 2026 fee-for-service schedule: the 3rd-lowest of 42 state Medicaid programs, at 66% of the $95.28 median.

Non-facility rate
$62.91
Rank
40 of 42
vs. state median
66%
vs. OH Medicare
54%

What Ohio Medicaid publishes for 99284

3rd-lowest of 42 · 66% of median

3rd-lowest of 42 · 66% of median

Schedule
January 2026
In effect since
Jan 1, 2024

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. Ohio Medicaid Schedules & Rates

99284 in neighboring states

Each state's comparable non-facility rate for 99284 in its current schedule.

StateRatevs. Ohio
Indiana$110.18+75%
Kentucky$74.05+18%
Pennsylvania$95.33+52%
West Virginia$87.35+39%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in Ohio is $117.03; Ohio Medicaid's rate is 54% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See Ohio's full schedule: all 7,309 codes, every published period, and commercial payer rates for 99284.

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Other Ohio Medicaid rates