Washington Medicaid rate for CPT 99285
Apple Health pays $99.18 for CPT 99285 in its October 2026 fee-for-service schedule: the 6th-lowest of 42 state Medicaid programs, at 72% of the $138.69 median.
- Non-facility rate
- $99.18
- Rank
- 37 of 42
- vs. state median
- 72%
- vs. WA Medicare
- 55-58%
What Apple Health publishes for 99285
6th-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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
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 Washington is $170.40 to $180.02 across its 2 payment localities; Apple Health's rate is 55-58% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Washington's full schedule: all 8,727 codes, every published period, and commercial payer rates for 99285.
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