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Fee-for-service rateAs of September 2026

Oregon Medicaid rate for CPT 99284

Oregon Health Plan pays $92.73 for CPT 99284 in its September 2026 fee-for-service schedule: the 19th-lowest of 42 state Medicaid programs, at 97% of the $95.28 median.

Non-facility rate
$92.73
Rank
24 of 42
vs. state median
97%
vs. OR Medicare
78-81%

What Oregon Health Plan publishes for 99284

19th-lowest of 42 · 97% of median

19th-lowest of 42 · 97% of median

Schedule
September 2026
In effect since
Feb 1, 2026
$92.73 to $97.49 across 2 rate types
Rate type P
$97.49
General
$92.73

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. OHP Fee Schedule

99284 in neighboring states

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

StateRatevs. Oregon
Idaho$95.80+3%
Nevada$119.85+29%
Washington$68.22-26%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in Oregon is $114.71 to $118.38 across its 2 payment localities; Oregon Health Plan's rate is 78-81% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See Oregon's full schedule: all 12,253 codes, every published period, and commercial payer rates for 99284.

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Other Oregon Health Plan rates