Vermont Medicaid rate for CPT 99214
Vermont Medicaid pays a median of $112.91 across its rate types for CPT 99214 in its October 2026 fee-for-service schedule: the 15th-highest of 45 state Medicaid programs, at 111% of the $101.32 median.
- Non-facility rate
- $112.91
- Rank
- 15 of 45
- vs. state median
- 111%
- vs. VT Medicare
- 85%
What Vermont Medicaid publishes for 99214
15th-highest of 45 · 111% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2026
- Prior authorization
- Not required
$93.74 to $112.91 across 4 rate types
- Provider type 000 · Specialty 000 · PAC R
- $112.91
- Provider type 038 · Specialty S13 · PAC R
- $112.91
- Provider type T25 · Specialty S18 · PAC R
- $112.91
- Provider type 037 · Specialty S12 · PAC 3
- $93.74
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. Vermont Medicaid Fee Schedule Lookup
99214 in neighboring states
Each state's comparable non-facility rate for 99214 in its current schedule.
| State | Rate | vs. Vermont |
|---|---|---|
| Massachusetts | $96.15 | -15% |
| New Hampshire | $72.03 | -36% |
99214 in every state
Map and ranking of every state program that prices 99214.
Compare 99214 across states99214 under Medicare
Medicare's 2026 non-facility payment for 99214 in Vermont is $132.63; Vermont Medicaid's rate is 85% of that. The national amount before geographic adjustment is $135.608.
See 99214 Medicare ratesSee Vermont's full schedule: all 11,875 codes, every published period, and commercial payer rates for 99214.
Book a 15-min Medicaid walkthrough