South Carolina Medicaid rate for CPT 99284
Healthy Connections pays $89.10 for CPT 99284 in its October 2026 fee-for-service schedule: the 18th-lowest of 42 state Medicaid programs, at 94% of the $95.28 median.
- Non-facility rate
- $89.10
- Rank
- 25 of 42
- vs. state median
- 94%
- vs. SC Medicare
- 77%
What Healthy Connections publishes for 99284
18th-lowest of 42 · 94% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2024
$71.28 to $124.74 across 6 rate types
- Pediatric Subspecialty
- $124.74
- Enhanced
- $114.94
- General
- $89.10
- Podiatry
- $89.10
- Nurse Midwife
- $71.28
- PA/NP
- $71.28
12 rate types
- Enhanced (FP)
- $114.94
- Enhanced (GT)
- $114.94
- Enhanced (P4)
- $114.97
- General (FP)
- $89.10
- General and 1 more (GT)
- $89.10
- General (P4)
- $89.13
- Nurse Midwife and 1 more (FP)
- $71.28
- Nurse Midwife and 1 more (GT)
- $71.28
- PA/NP (P4)
- $71.30
- Pediatric Subspecialty (FP)
- $124.74
- Pediatric Subspecialty (GT)
- $124.74
- Pediatric Subspecialty (P4)
- $124.78
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. SCDHHS Fee Schedules
99284 in neighboring states
Each state's comparable non-facility rate for 99284 in its current schedule.
| State | Rate | vs. South Carolina |
|---|---|---|
| Georgia | $84.21 | -5% |
| North Carolina | $93.26 | +5% |
99284 in every state
Map and ranking of every state program that prices 99284.
Compare 99284 across states99284 under Medicare
Medicare's 2026 non-facility payment for 99284 in South Carolina is $115.34; Healthy Connections's rate is 77% of that. The national amount before geographic adjustment is $118.239.
See 99284 Medicare ratesSee South Carolina's full schedule: all 8,625 codes, every published period, and commercial payer rates for 99284.
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