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Fee-for-service rateAs of September 2026

Wyoming Medicaid rate for CPT 99204

Wyoming Medicaid pays $145.21 for CPT 99204 in its September 2026 fee-for-service schedule: the 17th-highest of 45 state Medicaid programs, at 108% of the $134.20 median.

Non-facility rate
$145.21
Rank
17 of 45
vs. state median
108%
vs. WY Medicare
83%

What Wyoming Medicaid publishes for 99204

17th-highest of 45 · 108% of median

17th-highest of 45 · 108% of median

Schedule
September 2026
In effect since
Jul 1, 2026
Prior authorization
Not required
$145.21 to $191.49 across 3 rate types
Breast and Cervical Cancer Screening
$191.49
Behavioral Health Center Full Coverage
$166.95
General
$145.21

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. Wyoming Medicaid Fee Schedules

99204 in neighboring states

Each state's comparable non-facility rate for 99204 in its current schedule.

StateRatevs. Wyoming
Colorado$134.20-8%
Idaho$159.87+10%
Montana$229.09+58%
Nebraska$182.41+26%
South Dakota$166.01+14%
Utah$142.78-2%

99204 under Medicare

Medicare's 2026 non-facility payment for 99204 in Wyoming is $175.27; Wyoming Medicaid's rate is 83% of that. The national amount before geographic adjustment is $177.359.

See 99204 Medicare rates

See Wyoming's full schedule: all 11,582 codes, every published period, and commercial payer rates for 99204.

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Other Wyoming Medicaid rates