Wyoming Medicaid Fee Schedule
Wyoming Medicaid pays $79.31 on its ordinary schedule for an established-patient office visit (99213), and $79.31 to $103.14 across its rate types. The ordinary rate is the 16th-highest of 45 Medicaid programs.
- Schedule as of
- September 2026
- Codes priced
- 11,582
- 99213 vs. median
- 112% of median
Current Wyoming Medicaid rates for common codes
Each amount is the unmodified non-facility rate in the September 2026 schedule. Where a code appears under more than one rate type, it is the state's ordinary statewide rate when its rules name one, and otherwise the median across rate types. Modifier-specific and facility-only rows are listed separately under the service.
| Code | Service | Non-facility rate | Prior auth |
|---|---|---|---|
| 99213 | Office visit, established patient (low complexity)$79.31 to $103.14 across 3 rate types
| $79.31Ordinary statewide rateIn effect since Jul 1, 202616th-highest of 45 · 112% of median | Not required |
| 99214 | Office visit, established patient (moderate complexity)$111.30 to $146.82 across 3 rate types
| $111.54Ordinary statewide rateIn effect since Jul 1, 202617th-highest of 45 · 110% of median | Not required |
| 99203 | Office visit, new patient (low complexity)$96.90 to $126.93 across 3 rate types
| $96.90Ordinary statewide rateIn effect since Jul 1, 202618th-highest of 45 · 108% of median | Not required |
| 99204 | Office visit, new patient (moderate complexity)$145.21 to $191.49 across 3 rate types
| $145.21Ordinary statewide rateIn effect since Jul 1, 202617th-highest of 45 · 108% of median | Not required |
| 99285 | Emergency department visit, high severity with threat to function | $148.71In effect since Jul 1, 202614th-highest of 42 · 107% of median | Not required |
Dot: Wyoming. Tick: median across state programs. Line: lowest to highest state. Base fee-for-service rates; supplemental payments some states add are not included.
Wyoming is 16th-highest of 45 for 99213. See where all 11,582 Wyoming Medicaid codes rank.
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Compare any other code across state programs. The free view shows a few states per code; Wyoming's full schedule is in the complete dataset.
Neighboring and high-enrollment Medicaid fee schedules
States bordering Wyoming first, then the largest programs.