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76999 Medicaid reimbursement rates by state

Imaging and radiology. 8 state Medicaid programs publish a fee-for-service rate for 76999 at the physician psychologist level. Rates run from $0.00 in Arkansas to $170.79 in Maine, with a median of $17.64.

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

States publishing
8
Median rate
$17.64units vary by state
Highest
$170.79Maine
Medicare (non-facility)
—not on the physician fee schedule

76999 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$170.79⚠ over 3× mediansince 2010-09-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$78.45since 2026-07-01——Plans must pay at least this—MO HealthNet fee schedule: Outpatient Ho
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$50.92since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$25.00since 2010-01-01percent of billed charges—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$10.28since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$8.10since 2014-07-01base unit—Not classified—NJMMIS Procedure Master Listing CPTCodes
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$7.00since 2015-01-01base unit—Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 76999?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $17.64. Maine pays the most ($170.79) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for 76999?

Maine, at $170.79, effective 2010-09-01.

Do managed-care plans pay the same rate for 76999?

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 table shows the rule for each state, cited to the contract or statute.

Related Radiology codes

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Medicaid rates by state