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Fee-for-service rateAs of October 2026

Washington Medicaid rate for CPT 99284

Apple Health pays $68.22 for CPT 99284 in its October 2026 fee-for-service schedule: the 5th-lowest of 42 state Medicaid programs, at 72% of the $95.28 median.

Non-facility rate
$68.22
Rank
38 of 42
vs. state median
72%
vs. WA Medicare
55-58%

What Apple Health publishes for 99284

5th-lowest of 42 · 72% of median

5th-lowest of 42 · 72% 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

99284 in neighboring states

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

StateRatevs. Washington
Idaho$95.80+40%
Oregon$92.73+36%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in Washington is $117.43 to $124.09 across its 2 payment localities; Apple Health's rate is 55-58% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See Washington's full schedule: all 8,727 codes, every published period, and commercial payer rates for 99284.

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Other Apple Health rates