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Fee-for-service rateAs of August 2026

Wisconsin Medicaid rate for CPT 99203

ForwardHealth pays a median of $74.38 across its rate types for CPT 99203 in its August 2026 fee-for-service schedule: the 8th-lowest of 45 state Medicaid programs, at 83% of the $89.35 median.

Non-facility rate
$74.38
Rank
38 of 45
vs. state median
83%
vs. WI Medicare
67%

What ForwardHealth publishes for 99203

8th-lowest of 45 · 83% of median

8th-lowest of 45 · 83% of median

Schedule
August 2026
In effect since
Jan 1, 2024
$66.93 to $74.38 across 13 rate types
Rate type FAP · Provider type 71, specialty 000 · Telehealth
$74.38
Rate type MED · 2 provider specialties · 23 places of service
$74.38
Rate type MED · 2 provider specialties · Place of service 17
$74.38
Rate type MED · 2 provider specialties · Telehealth
$74.38
Rate type OTH · 2 provider specialties
$74.38
Rate type OTH · 2 provider specialties · 27 places of service
$74.38
Rate type PT5 · 2 provider specialties · 23 places of service
$74.38
Rate type PT6 · 63 provider specialties · 23 places of service
$74.38
Rate type PT6 · 63 provider specialties · Place of service 17
$74.38
Rate type PT6 · 63 provider specialties · Telehealth
$74.38
Rate type PT1 · 2 provider specialties · 23 places of service
$66.93
Rate type PT1 · 2 provider specialties · Place of service 17
$66.93
Rate type PT1 · 2 provider specialties · Telehealth
$66.93
4 rate types
Rate type FAP · Provider type 71, specialty 000 · Under 19 · Telehealth · Payment adjustment and 55 more (AQ)
$74.38
Rate type FAP · Provider type 71, specialty 000 · Under 19 · Telehealth · Payment adjustment and 19 more (TJ)
$74.38
Rate type PT1 · 7 provider specialties · 23 places of service and 27 more (AQ)
$66.93
Rate type PT1 · Provider type 10, specialty 100 · Under 19 · 23 places of service · Payment adjustment and 11 more (TJ)
$66.93

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

99203 in neighboring states

Each state's comparable non-facility rate for 99203 in its current schedule.

StateRatevs. Wisconsin
Iowa$79.33+7%
Illinois$55.95-25%
Michigan$74.98+1%
Minnesota$90.52+22%

99203 under Medicare

Medicare's 2026 non-facility payment for 99203 in Wisconsin is $111.40; ForwardHealth's rate is 67% of that. The national amount before geographic adjustment is $117.571.

See 99203 Medicare rates

See Wisconsin's full schedule: all 7,754 codes, every published period, and commercial payer rates for 99203.

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Other ForwardHealth rates