Rhode Island Medicaid rate for CPT 99285
Rhode Island Medicaid pays $92.55 for CPT 99285 in its October 2026 fee-for-service schedule: the 4th-lowest of 42 state Medicaid programs, at 67% of the $138.69 median.
- Non-facility rate
- $92.55
- Rank
- 39 of 42
- vs. state median
- 67%
- vs. RI Medicare
- 54%
What Rhode Island Medicaid publishes for 99285
4th-lowest of 42 · 67% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2003
2 rate types
- Level 3 · PAC I · Up to 1 unit (25)
- $92.55
- Level 3 · PAC I · Up to 1 unit (GC)
- $92.55
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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. Rhode Island |
|---|---|---|
| Connecticut | $106.14 | +15% |
| Massachusetts | $127.50 | +38% |
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in Rhode Island is $172.87; Rhode Island Medicaid's rate is 54% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Rhode Island's full schedule: all 12,354 codes, every published period, and commercial payer rates for 99285.
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