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Fee-for-service rateAs of October 2026

Washington Medicaid rate for CPT 20610

Apple Health pays $41.47 for CPT 20610 in its October 2026 fee-for-service schedule: the 6th-lowest of 44 state Medicaid programs, at 76% of the $54.825 median.

Non-facility rate
$41.47
Rank
39 of 44
vs. state median
76%
vs. WA Medicare
53-59%

What Apple Health publishes for 20610

6th-lowest of 44 · 76% of median

6th-lowest of 44 · 76% of median

Schedule
October 2026
Prior authorization
Not published

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. HCA Provider Billing Guides & Fee Schedules

20610 in neighboring states

Each state's comparable non-facility rate for 20610 in its current schedule.

StateRatevs. Washington
Idaho$54.80+32%
Oregon$54.85+32%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in Washington is $70.16 to $78.09 across its 2 payment localities; Apple Health's rate is 53-59% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See Washington's full schedule: all 8,727 codes, every published period, and commercial payer rates for 20610.

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Other Apple Health rates