South Dakota Medicaid rate for CPT 99204
South Dakota Medicaid pays $166.01 for CPT 99204 in its July 2026 fee-for-service schedule: the 12th-highest of 45 state Medicaid programs, at 124% of the $134.20 median.
- Non-facility rate
- $166.01
- Rank
- 12 of 45
- vs. state median
- 124%
- vs. SD Medicare
- 96%
What South Dakota Medicaid publishes for 99204
12th-highest of 45 · 124% 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. DSS Medicaid Fee Schedules
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
99204 in every state
Map and ranking of every state program that prices 99204.
Compare 99204 across states99204 under Medicare
Medicare's 2026 non-facility payment for 99204 in South Dakota is $172.04; South Dakota Medicaid's rate is 96% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee South Dakota's full schedule: all 7,775 codes, every published period, and commercial payer rates for 99204.
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