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Fee-for-service rateAs of August 2026

Wisconsin Medicaid rate for CPT 20610

ForwardHealth pays a median of $61.42 across its rate types for CPT 20610 in its August 2026 fee-for-service schedule: the 12th-highest of 44 state Medicaid programs, at 112% of the $54.825 median.

Non-facility rate
$61.42
Rank
12 of 44
vs. state median
112%
vs. WI Medicare
96%

What ForwardHealth publishes for 20610

12th-highest of 44 · 112% of median

12th-highest of 44 · 112% of median

Schedule
August 2026
In effect since
Jul 1, 2008
$58.19 to $64.65 across 2 rate types
Rate type C30 · 5 provider specialties · 33 places of service
$64.65
Rate type PT1 · Provider type 10, specialty 100 · 33 places of service
$58.19
2 rate types
Rate type C30 · 5 provider specialties · 33 places of service · Payment adjustment (50)
$64.65
Rate type PT1 · Provider type 10, specialty 100 · 33 places of service · Payment adjustment (50)
$58.19

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. ForwardHealth Maximum Allowable Fee Schedule

20610 in neighboring states

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

StateRatevs. Wisconsin
Iowa$62.76+2%
Illinois$31.80-48%
Michigan$43.88-29%
Minnesota$51.46-16%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in Wisconsin is $64.17; ForwardHealth's rate is 96% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See Wisconsin's full schedule: all 7,754 codes, every published period, and commercial payer rates for 20610.

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Other ForwardHealth rates