Oklahoma Medicaid Fee Schedule

SoonerCare, published by the Oklahoma Health Care Authority (OHCA). Schedules effective through Sep 2026.

Oklahoma publishes 11,985 Medicaid fee-for-service rates across 10 service categories. An established-patient office visit (99213) pays $83.63, a two-view chest X-ray (71046) $28.25 and a CPAP device (E0601) $97.02. Pooled across categories with a national Medicare comparator, Oklahoma's published rates run a median 87.8% of the Medicare amount, ranking 16 of 49 jurisdictions with a comparable basis.

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

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Oklahoma'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
Physician6,509Sep 202687.6%$83.63 Office visit, established patient, low complexity (20-29 min) (99213)--
Lab & Imaging2,087Jul 202688.9%$28.25 Chest X-ray, 2 views (71046)--
DME & Supplies1,829Jul 202679.4%$97.02 Continuous positive airway pressure (cpap) device (E0601)--
Drugs904Jul 2026------
Vision136Jul 202650.1%$130.94 Eye exam, new patient, comprehensive (92004)--
Behavioral Health18Jul 202690.9%$152.16 Psychotherapy, 60 minutes (90837)--
Anesthesia274Jul 2026------
Hearing10Aug 2020------
Transport15Jul 2026--$179.08 Ambulance service, basic life support, non-emergency transport, (bls) (A0428)--
State-Specific Services203Jul 2026100%$31.85 Telehealth originating site facility fee (Q3014)--
DentalOklahoma's dental Medicaid rates live in the dental section, with their own per-state page.

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 Oklahoma publishes its fee schedules

Publisher
Oklahoma Health Care Authority (OHCA)
Program
SoonerCare
Official source
https://oklahoma.gov/ohca/providers/claim-tools/fee-schedule.html
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 Oklahoma schedules, every category and every code, export as CSV on the Rates plan.

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Frequently asked questions

Does Oklahoma publish a Medicaid fee schedule?

Yes. Oklahoma publishes 11,985 Medicaid fee-for-service procedure rates across 10 service categories, effective through Sep 2026, all collected and normalized here with plain-language procedure names. Oklahoma Health Care Authority (OHCA) publishes Oklahoma's Medicaid fee schedules for SoonerCare.

Who publishes Oklahoma's Medicaid fee schedule?

Oklahoma Health Care Authority (OHCA) publishes Oklahoma's Medicaid fee schedules for SoonerCare. The state's own fee-schedule page is https://oklahoma.gov/ohca/providers/claim-tools/fee-schedule.html. 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 Oklahoma Medicaid pay for common services?

An established-patient office visit (99213) pays $83.63, a two-view chest X-ray (71046) $28.25 and a CPAP device (E0601) $97.02. 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 Oklahoma's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, Oklahoma's published rates run a median 87.8% of the Medicare amount, ranking 16 of 49 jurisdictions with a comparable basis.

What service categories does Oklahoma publish?

Physician (6,509 codes), Lab & Imaging (2,087 codes), DME & Supplies (1,829 codes), Drugs (904 codes), Vision (136 codes), Behavioral Health (18 codes), Anesthesia (274 codes), Hearing (10 codes), Transport (15 codes), State-Specific Services (203 codes). Dental rates have their own section with per-state pages.

How current are these rates?

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