42699 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $132.98 for 42699 across 7 states, from $5.00 in Minnesota to $983.15 in Montana.
- States publishing
- 7
- National median
- $132.98units vary by state
- Lowest
- $5.00Minnesota
- Highest
- $983.15Montana
What does Medicaid pay for 42699?
7 state Medicaid programs publish a fee-for-service rate for 42699. The national median is $132.98 (units differ between states). Montana pays the most, $983.15, and Minnesota the least, $5.00 per base unit, a 196.6x spread.
42699 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 42699?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $132.98. Montana pays the most ($983.15) and Minnesota the least ($5.00 per base unit).
Which state pays the highest Medicaid rate for 42699?
Montana, at $983.15, effective 2025-07-01.
Do managed-care plans pay the same rate for 42699?
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.