Iowa Medicaid Fee Schedule

Iowa Medicaid, published by the Iowa Department of Health and Human Services (HHS). Schedules effective through Aug 2026.

Iowa publishes 11,868 Medicaid fee-for-service rates across 9 service categories. An established-patient office visit (99213) pays $43.23, a two-view chest X-ray (71046) $23.51 and a CPAP device (E0601) $1,073.38. Pooled across categories with a national Medicare comparator, Iowa's published rates run a median 78% of the Medicare amount, ranking 35 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes Iowa schedules export as CSV with the Rates plan.

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Iowa's published schedules by category

Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.

CategoryCodesEffectiveMedian % of MedicareExample ratePA required
Physician6,709Aug 202677.6%$43.23 Office visit, established patient, low complexity (20-29 min) (99213)--
Lab & Imaging2,057Jan 202698.1%$23.51 Chest X-ray, 2 views (71046)--
DME & Supplies1,855May 202666.8%$1,073.38 Continuous positive airway pressure (cpap) device (E0601)--
Drugs817Jul 2026------
Vision155Jul 202449.6%$84.10 Eye exam, new patient, comprehensive (92004)--
Behavioral Health42Dec 202550%$83.33 Psychotherapy, 60 minutes (90837)--
Hearing19Jul 2024--$2,016.15 Hearing aid, digital, binaural, bte (V5261)--
Transport21Jul 2021--$84.67 Ambulance service, basic life support, non-emergency transport, (bls) (A0428)--
State-Specific Services193Jan 202665.1%$18.18 Telehealth originating site facility fee (Q3014)--
DentalIowa's dental Medicaid rates live in the dental section, with their own per-state page.

Iowa also publishes 2 anesthesia codes (Jul 2024), too few or too old to summarize here.

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.

Where Iowa publishes its fee schedules

Publisher
Iowa Department of Health and Human Services (HHS)
Program
Iowa Medicaid
Official source
https://hhs.iowa.gov/programs/welcome-iowa-medicaid/iowa-medicaid-fee-schedule
Last checked
Aug 21, 2026

ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.

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These are common-procedure samples. The complete Iowa schedules, every category and every code, export as CSV on the Rates plan.

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Frequently asked questions

Does Iowa publish a Medicaid fee schedule?

Yes. Iowa publishes 11,868 Medicaid fee-for-service procedure rates across 9 service categories, effective through Aug 2026, all collected and normalized here with plain-language procedure names. Iowa Department of Health and Human Services (HHS) publishes Iowa's Medicaid fee schedules.

Who publishes Iowa's Medicaid fee schedule?

Iowa Department of Health and Human Services (HHS) publishes Iowa's Medicaid fee schedules. The state's own fee-schedule page is https://hhs.iowa.gov/programs/welcome-iowa-medicaid/iowa-medicaid-fee-schedule. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).

What does Iowa Medicaid pay for common services?

An established-patient office visit (99213) pays $43.23, a two-view chest X-ray (71046) $23.51 and a CPAP device (E0601) $1,073.38. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.

How do Iowa's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, Iowa's published rates run a median 78% of the Medicare amount, ranking 35 of 49 jurisdictions with a comparable basis.

What service categories does Iowa publish?

Physician (6,709 codes), Lab & Imaging (2,057 codes), DME & Supplies (1,855 codes), Drugs (817 codes), Vision (155 codes), Behavioral Health (42 codes), Hearing (19 codes), Transport (21 codes), State-Specific Services (193 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from Iowa's currently published fee schedules, the newest effective Aug 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.