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Billing code 68399 · Physician & professional

68399 Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $70.00 for 68399 across 5 states, from $20.00 in Indiana to $740.50 in Montana.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$70.00units vary by state
Lowest
$20.00Indiana
Highest
$740.50Montana
Answer

What does Medicaid pay for 68399?

5 state Medicaid programs publish a fee-for-service rate for 68399. The national median is $70.00 (units differ between states). Montana pays the most, $740.50, and Indiana the least, $20.00 per percent of billed charges, a 37.0x spread.

State ranking

68399 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$740.50——Not classified—
2Missouri Source · since 2019-07-01$171.18——Plans must pay at least this—
3Wyoming Source · since 2020-02-01$70.00——Not classified—
See all 5 states for 68399 — 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.

Track 68399 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for 68399?

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 ($740.50) and Indiana the least ($20.00 per percent of billed charges).

Which state pays the highest Medicaid rate for 68399?

Montana, at $740.50, effective 2025-07-01.

Do managed-care plans pay the same rate for 68399?

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.