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Fee-for-service rateAs of July 2026

Oklahoma Medicaid rate for CPT 99204

SoonerCare pays $156.12 for CPT 99204 in its July 2026 fee-for-service schedule: the 14th-highest of 45 state Medicaid programs, at 116% of the $134.20 median.

Non-facility rate
$156.12
Rank
14 of 45
vs. state median
116%
vs. OK Medicare
94%

What SoonerCare publishes for 99204

14th-highest of 45 · 116% of median

14th-highest of 45 · 116% of median

Schedule
July 2026
In effect since
Jul 1, 2026

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. OHCA Fee Schedule

99204 in neighboring states

Each state's comparable non-facility rate for 99204 in its current schedule.

StateRatevs. Oklahoma
Arkansas$95.17-39%
Colorado$134.20-14%
Kansas$120.26-23%
Missouri$138.56-11%
New Mexico$238.74+53%
Texas$88.35-43%

99204 under Medicare

Medicare's 2026 non-facility payment for 99204 in Oklahoma is $166.74; SoonerCare's rate is 94% of that. The national amount before geographic adjustment is $177.359.

See 99204 Medicare rates

See Oklahoma's full schedule: all 9,711 codes, every published period, and commercial payer rates for 99204.

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Other SoonerCare rates