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42299 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $70.00 for 42299 across 5 states, from $20.00 in Indiana to $900.59 in Montana.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
5
National median
$70.00units vary by state
Lowest
$20.00Indiana
Highest
$900.59Montana

What does Medicaid pay for 42299?

5 state Medicaid programs publish a fee-for-service rate for 42299 at the physician psychologist level. The national median is $70.00 (units differ between states). Montana pays the most, $900.59, and Indiana the least, $20.00 per percent of billed charges, a 45.0x spread.

42299 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2025-07-01$900.59——Not classified—
2Florida Source · since 2026-01-01$269.52——Plans negotiate; applies out of network—
3Wyoming Source · since 2020-02-01$70.00——Not classified—
See all 5 states for 42299 — start free

2 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

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Frequently asked questions

What does Medicaid pay for 42299?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $70.00. Montana pays the most ($900.59) and Indiana the least ($20.00 per percent of billed charges).

Which state pays the highest Medicaid rate for 42299?

Montana, at $900.59, effective 2025-07-01.

Do managed-care plans pay the same rate for 42299?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.

Related codes

Codes next to 42299

42235Physician and practitioner services (fee schedule) · 50 states42260Physician and practitioner services (fee schedule) · 50 states42280Physician and practitioner services (fee schedule) · 46 states42281Physician and practitioner services (fee schedule) · 47 states42300Physician and practitioner services (fee schedule) · 50 states42305Physician and practitioner services (fee schedule) · 50 states42310Physician and practitioner services (fee schedule) · 50 states42320Physician and practitioner services (fee schedule) · 50 states

Most-published Physician & professional codes

10005Physician and practitioner services (fee schedule) · 50 states10006Physician and practitioner services (fee schedule) · 50 states10007Physician and practitioner services (fee schedule) · 50 states10008Physician and practitioner services (fee schedule) · 50 states10009Physician and practitioner services (fee schedule) · 50 states10010Physician and practitioner services (fee schedule) · 50 states10021Physician and practitioner services (fee schedule) · 50 states10030Physician and practitioner services (fee schedule) · 50 states

Highest-paying states

Montana Medicaid fee scheduleFlorida Medicaid fee scheduleWyoming Medicaid fee schedule