45999 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $100.00 for 45999 across 7 states, from $20.00 in Indiana to $865.98 in Montana.
- States publishing
- 7
- National median
- $100.00units vary by state
- Lowest
- $20.00Indiana
- Highest
- $865.98Montana
What does Medicaid pay for 45999?
7 state Medicaid programs publish a fee-for-service rate for 45999. The national median is $100.00 (units differ between states). Montana pays the most, $865.98, and Indiana the least, $20.00 per percent of billed charges, a 43.3x spread.
45999 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 45999?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $100.00. Montana pays the most ($865.98) and Indiana the least ($20.00 per percent of billed charges).
Which state pays the highest Medicaid rate for 45999?
Montana, at $865.98, effective 2025-07-01.
Do managed-care plans pay the same rate for 45999?
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.