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Wyoming Medicaid reimbursement rates

47,114 current fee-for-service and managed-care rates from Wyoming Medicaid, across 107 services and 11 programs, normalized by code, provider level and unit. Each links to one of 23 official source documents.

Last retrieved 2026-10-05. History back to 1994-07-01.

Current rates
47,114
Services
107
Programs
11
Lines with a plan rule
0of 22 service lines

By industry

Wyoming rates by service

The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.

ServiceLineMedian rateUnitPer hourVariants
ABA assessment by a behavior analystABA / autism services$24.6015 min$98.402
ABA assessment support by a technicianABA / autism services$12.3015 min$49.202
ABA assessment with 2+ technicians (severe behavior)ABA / autism services$12.3015 min$49.202
ABA parent and caregiver trainingABA / autism services$19.6415 min$78.564
ABA therapy with 2+ technicians (severe behavior)ABA / autism services$12.3015 min$49.202
ABA therapy with plan changes by an analystABA / autism services$24.6015 min$98.402
Group ABA parent training (several families)ABA / autism services$8.2015 min$32.802
Group ABA therapy led by a technicianABA / autism services$4.0415 min$16.162
Group ABA therapy led by an analystABA / autism services$9.3115 min$37.242
One-on-one ABA therapy by a technicianABA / autism services$12.3015 min$49.202
Behavioral health services (fee schedule)Behavioral health$40.52—$66.0050
Mental health assessment (non-physician)Behavioral health$123.41——5
Mental health counselingBehavioral health$42.34——4
Outpatient psychotherapy and diagnostic evaluationBehavioral health$131.04—$138.2754
Psychiatric residential treatment (daily)Behavioral health$479.06day—2
Skills training and developmentBehavioral health$14.1415 min$56.564
Therapeutic behavioral servicesBehavioral health$37.45—$149.806
FQHC / RHC visit (PPS or APM rate)Clinics (FQHC/RHC)$249.34encounter—54
Dental servicesDental$143.94——283
Durable medical equipmentEquipment & supplies$155.37—$180.001267
Enteral and parenteral nutritionEquipment & supplies$28.17day—32
Medical suppliesEquipment & supplies$7.96——657
Orthotics and prostheticsEquipment & supplies$350.43—$58.52850
Adult day servicesOther home & community services$6.46day$14.3612
Assisted living / alternative living servicesOther home & community services$76.47day—2
Assistive technology support (training and set-up)Other home & community services$25.1715 min$100.681
Automated medication dispenser monthly serviceOther home & community services$75.00——1
Case management / support coordinationOther home & community services$31.80—$91.7819
Emergency response system installationOther home & community services$63.41one time—2
Emergency response system monitoringOther home & community services$36.87month—2
HCBS waiver service (other)Other home & community services$148.46—$29.4012
Home-delivered mealsOther home & community services$9.27meal—2
Interpreter servicesOther home & community services$10.6115 min$42.441
Nursing assessmentOther home & community services$77.52visit—1
Respite care (daily)Other home & community services$269.96day—5
Respite care (hourly)Other home & community services$7.5015 min$30.005
Service planning meetingOther home & community services$116.17——3
Home health speech therapyHome health$63.38——3
Home health visit (other or unspecified)Home health$84.50——13
Hospice continuous home care (hourly)Hospice$1,654.77——19
Hospice end-of-life visit add-on (per hour)Hospice$17.2315 min$68.9219
Hospice general inpatient care (daily)Hospice$1,188.05day—19
Hospice inpatient respite (daily)Hospice$527.44day—19
Hospice residence care (daily)Hospice$242.70day—7
Hospice routine home care (daily)Hospice$197.33day—38
Inpatient capital payment (building and equipment)Hospital inpatient$71.29day—48
Inpatient DRG pricing input (outlier, cost ratio, stay)Hospital inpatient$5.87day—1438
Inpatient DRG relative weightHospital inpatient$1.43weight—1340
Inpatient hospital stay (DRG base rate)Hospital inpatient$9,145.97——48
Inpatient hospital stay (per diem)Hospital inpatient$808.77day—97
Inpatient payment adjustment factorHospital inpatient$1.00——1341
IHS / tribal outpatient visit (all-inclusive rate)Hospital outpatient$826.00encounter—18
Outpatient hospital (percent of charges or cost)Hospital outpatient$55.00——54
Outpatient hospital APC relative weightHospital outpatient$1.09weight—920
Outpatient hospital conversion factor (APC/EAPG)Hospital outpatient$61.15——5
Outpatient hospital services (fee schedule)Hospital outpatient$1,036.98—$181.2821113
Surgery center facility fee (per procedure)Hospital outpatient$688.75—$95.497008
Behavior support services (disability waiver)IDD services$20.5615 min$82.243
Community integration / community access (IDD)IDD services$4.1515 min$16.6010
Consultative clinical assessment (IDD)IDD services$1,200.00unit—2
Crisis intervention for people with I/DD (waiver)IDD services$8.9915 min$35.961
Day habilitation / day program (IDD)IDD services$67.70day—4
In-home and community living supports (IDD)IDD services$6.3715 min$25.468
Residential habilitation / group home supportsIDD services$226.62day—12
Shared living / host home / family modelIDD services$277.97day—2
Supported employment (job coaching)IDD services$8.7315 min$34.906
Supported employment follow-alongIDD services$8.7315 min$34.902
Clinical lab testsLab & pathology$17.06——1377
Nursing home daily rate component (facility-specific)Nursing facility$111.29day—2
Nursing home stay (daily rate)Nursing facility$259.88day—32
Swing-bed stay (hospital bed used for nursing-home care)Nursing facility$266.04day—17
Diabetes prevention program session or milestone paymentOther$18.53——7
Dialysis facility composite rate (per treatment)Other$328.31——98
Companion carePersonal care & attendant$7.3515 min$29.405
Home health aide or nurse aide care (hourly)Personal care & attendant$10.3615 min$41.441
Homemaker / housekeeping helpPersonal care & attendant$6.6215 min$26.483
Personal care / attendant care (hourly)Personal care & attendant$8.2515 min$33.005
Pharmacy dispensing feePharmacy$6.33prescription—2
Physician-administered drugs (J-codes)Pharmacy$12.79——789
Waiver nursing (RN or LPN, by the 15 minutes)Private duty nursing$19.7715 min$79.083
Anesthesia conversion factorPhysician & professional$19.97unit—276
Physician and practitioner services (fee schedule)Physician & professional$463.85—$79.046680
Imaging and radiologyRadiology$107.35——665
Activity therapyTherapy (PT/OT/speech)$12.3415 min$49.362
Cognitive rehabilitation therapyTherapy (PT/OT/speech)$18.5615 min$74.243
Nutrition counseling (dietitian)Therapy (PT/OT/speech)$31.4715 min$119.643
Occupational therapyTherapy (PT/OT/speech)$42.73—$124.324
Occupational therapy evaluationTherapy (PT/OT/speech)$90.24——5
Orthotic and prosthetic fitting and trainingTherapy (PT/OT/speech)$43.16—$165.084
Other therapy servicesTherapy (PT/OT/speech)$18.80visit—1
Physical therapyTherapy (PT/OT/speech)$29.22—$115.004
Physical therapy evaluationTherapy (PT/OT/speech)$87.91——4
Speech-generating device evaluationTherapy (PT/OT/speech)$108.59——1
Speech-generating device therapyTherapy (PT/OT/speech)$90.53——1
Speech-language evaluationTherapy (PT/OT/speech)$107.31——4
Speech-language therapyTherapy (PT/OT/speech)$53.12——4
Swallowing and feeding evaluationTherapy (PT/OT/speech)$74.81——1
Swallowing and feeding therapyTherapy (PT/OT/speech)$74.31——1
Air ambulance transportTransportation$3,107.97——2
Ambulance extras (waiting time, extra attendant, neonatal)Transportation$5.49mile—3
Ambulance mileageTransportation$8.85mile—3
Ground ambulance transportTransportation$174.85——8
Non-emergency medical transportation (NEMT)Transportation$0.58mile—8
Travel lodging for a medical appointment (per night)Transportation$29.25——1
Waiver transportation (to community activities)Transportation$14.7715 min$30.365
Eyeglasses and contact lensesVision & hearing$55.62——82
Hearing aids and hearing servicesVision & hearing$282.85——23

Most-compared billing codes in Wyoming

Where Wyoming ranks among states for codes published widely. Rank 1 = highest rate.

CodeServiceWyomingAll-state medianRank
10005Physician and practitioner services (fee schedule)$114.95$85.558 of 48
10006Physician and practitioner services (fee schedule)$51.65$45.6413 of 48
10007Physician and practitioner services (fee schedule)$262.91$186.9614 of 48
10008Physician and practitioner services (fee schedule)$122.52$92.5113 of 48
10009Physician and practitioner services (fee schedule)$363.43$273.4112 of 48
10010Physician and practitioner services (fee schedule)$203.37$153.3013 of 48
10021Physician and practitioner services (fee schedule)$86.79$71.6812 of 48
10030Physician and practitioner services (fee schedule)$538.17$382.6211 of 48
10060Physician and practitioner services (fee schedule)$110.81$88.7411 of 48
10061Physician and practitioner services (fee schedule)$185.22$153.3013 of 48
10080Physician and practitioner services (fee schedule)$213.06$129.4713 of 48
10081Physician and practitioner services (fee schedule)$292.01$200.5113 of 48
10120Physician and practitioner services (fee schedule)$131.33$98.4110 of 48
10121Physician and practitioner services (fee schedule)$228.50$171.2210 of 48
10140Physician and practitioner services (fee schedule)$146.60$109.799 of 48
10160Physician and practitioner services (fee schedule)$112.62$86.109 of 48
10180Physician and practitioner services (fee schedule)$226.35$181.2014 of 48
11000Physician and practitioner services (fee schedule)$50.94$37.5510 of 48
11001Physician and practitioner services (fee schedule)$23.36$17.7811 of 48
11004Physician and practitioner services (fee schedule)$476.68$437.2415 of 48
11005Physician and practitioner services (fee schedule)$644.54$593.3014 of 48
11006Physician and practitioner services (fee schedule)$587.23$545.2215 of 48
11008Physician and practitioner services (fee schedule)$226.78$210.4715 of 48
11010Physician and practitioner services (fee schedule)$381.02$279.2212 of 48
11011Physician and practitioner services (fee schedule)$428.19$321.3414 of 48
11012Physician and practitioner services (fee schedule)$554.00$431.8213 of 48
11042Physician and practitioner services (fee schedule)$111.69$82.729 of 48
11043Physician and practitioner services (fee schedule)$199.74$165.0912 of 48
11044Physician and practitioner services (fee schedule)$266.20$227.0212 of 48
11055Physician and practitioner services (fee schedule)$60.91$38.328 of 48
11056Physician and practitioner services (fee schedule)$70.74$45.258 of 48
11057Physician and practitioner services (fee schedule)$77.14$50.838 of 48
11102Physician and practitioner services (fee schedule)$85.72$70.0011 of 48
11103Physician and practitioner services (fee schedule)$42.79$36.0412 of 48
11104Physician and practitioner services (fee schedule)$106.67$82.4511 of 48
11105Physician and practitioner services (fee schedule)$51.37$42.0113 of 48
11106Physician and practitioner services (fee schedule)$132.65$100.599 of 48
11107Physician and practitioner services (fee schedule)$60.69$48.9713 of 48
11300Physician and practitioner services (fee schedule)$85.43$49.398 of 48
11301Physician and practitioner services (fee schedule)$103.76$63.368 of 48

Managed care in Wyoming

18 plans on record, 0 state-directed payment records, 2 published capitation cells.

Who sets the rate, line by line →

Recent rate changes and notices

Frequently asked questions

Where does Wyoming publish its Medicaid fee schedules?

Wyoming publishes rates across 23 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.

How many Medicaid rates does Wyoming publish?

47,114 rates are current across 107 services and 11 programs, with 124,042 versions on record since 1994-07-01.

Do Wyoming Medicaid managed-care plans pay the fee schedule?

For 0 of 22 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.

Other states

Your Wyoming rate cardYour codes, what Wyoming pays, what plans must pay, and every change in 2026.
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