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Fee-for-service rateAs of October 2026

Rhode Island Medicaid rate for CPT 99284

Rhode Island Medicaid pays $59.20 for CPT 99284 in its October 2026 fee-for-service schedule: the 2nd-lowest of 42 state Medicaid programs, at 62% of the $95.28 median.

Non-facility rate
$59.20
Rank
41 of 42
vs. state median
62%
vs. RI Medicare
50%

What Rhode Island Medicaid publishes for 99284

2nd-lowest of 42 · 62% of median

2nd-lowest of 42 · 62% of median

Schedule
October 2026
In effect since
Jul 1, 2003
3 rate types
Level 3 · PAC I · Up to 1 unit (25 + QJ)
$59.20
Level 3 · PAC I · Up to 1 unit (GC)
$59.20
Level 3 · PAC I · Up to 1 unit (QJ)
$59.20

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. EOHHS Fee Schedules

99284 in neighboring states

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

StateRatevs. Rhode Island
Connecticut$73.21+24%
Massachusetts$87.75+48%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in Rhode Island is $119.21; Rhode Island Medicaid's rate is 50% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See Rhode Island's full schedule: all 12,354 codes, every published period, and commercial payer rates for 99284.

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Other Rhode Island Medicaid rates