Virginia Medicaid rate for CPT 99284
Virginia Medicaid pays $82.68 for CPT 99284 in its October 2026 fee-for-service schedule: the 11th-lowest of 42 state Medicaid programs, at 87% of the $95.28 median.
- Non-facility rate
- $82.68
- Rank
- 32 of 42
- vs. state median
- 87%
- vs. VA Medicare
- 65-72%
What Virginia Medicaid publishes for 99284
11th-lowest of 42 · 87% of median
- Schedule
- October 2026
- In effect since
- Jul 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. DMAS Procedure Fee Files
99284 in neighboring states
Each state's comparable non-facility rate for 99284 in its current schedule.
| State | Rate | vs. Virginia |
|---|---|---|
| Kentucky | $74.05 | -10% |
| North Carolina | $93.26 | +13% |
| West Virginia | $87.35 | +6% |
99284 in every state
Map and ranking of every state program that prices 99284.
Compare 99284 across states99284 under Medicare
Medicare's 2026 non-facility payment for 99284 in Virginia is $114.55 to $127.18 across its 2 payment localities; Virginia Medicaid's rate is 65-72% of that. The national amount before geographic adjustment is $118.239.
See 99284 Medicare ratesSee Virginia's full schedule: all 8,748 codes, every published period, and commercial payer rates for 99284.
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