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Fee-for-service rateAs of July 2026

South Dakota Medicaid rate for CPT 99285

South Dakota Medicaid pays $160.70 for CPT 99285 in its July 2026 fee-for-service schedule: the 10th-highest of 42 state Medicaid programs, at 116% of the $138.69 median.

Non-facility rate
$160.70
Rank
10 of 42
vs. state median
116%
vs. SD Medicare
100%

What South Dakota Medicaid publishes for 99285

10th-highest of 42 · 116% of median

10th-highest of 42 · 116% 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

99285 in neighboring states

Each state's comparable non-facility rate for 99285 in its current schedule.

StateRatevs. South Dakota
Iowa$135.92-15%
Minnesota$126.21-21%
Montana$236.63+47%
North Dakota$181.74+13%
Nebraska$188.45+17%
Wyoming$148.71-7%

99285 under Medicare

Medicare's 2026 non-facility payment for 99285 in South Dakota is $160.70; South Dakota Medicaid's rate is 100% of that. The national amount before geographic adjustment is $171.347.

See 99285 Medicare rates

See South Dakota's full schedule: all 7,775 codes, every published period, and commercial payer rates for 99285.

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Other South Dakota Medicaid rates