Vermont Medicaid rate for CPT 99285
Vermont Medicaid pays $138.38 for CPT 99285 in its October 2026 fee-for-service schedule: the 20th-lowest of 42 state Medicaid programs, at 100% of the $138.69 median.
- Non-facility rate
- $138.38
- Rank
- 23 of 42
- vs. state median
- 100%
- vs. VT Medicare
- 85%
What Vermont Medicaid publishes for 99285
20th-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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. Vermont |
|---|---|---|
| Massachusetts | $127.50 | -8% |
| New Hampshire | $103.01 | -26% |
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in Vermont is $163.21; Vermont Medicaid's rate is 85% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Vermont's full schedule: all 11,875 codes, every published period, and commercial payer rates for 99285.
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