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Fee-for-service rateAs of October 2026

Vermont Medicaid rate for CPT 99284

Vermont Medicaid pays $95.23 for CPT 99284 in its October 2026 fee-for-service schedule: the 21st-lowest of 42 state Medicaid programs, at 100% of the $95.28 median.

Non-facility rate
$95.23
Rank
22 of 42
vs. state median
100%
vs. VT Medicare
85%

What Vermont Medicaid publishes for 99284

21st-lowest of 42 · 100% of median

21st-lowest of 42 · 100% of median

Schedule
October 2026
In effect since
Jan 1, 2026
Prior authorization
Not required

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

99284 in neighboring states

Each state's comparable non-facility rate for 99284 in its current schedule.

StateRatevs. Vermont
Massachusetts$87.75-8%
New Hampshire$66.21-30%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in Vermont is $112.31; Vermont Medicaid's rate is 85% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See Vermont's full schedule: all 11,875 codes, every published period, and commercial payer rates for 99284.

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Other Vermont Medicaid rates