Montana Medicaid FFS is parsed from Montana Healthcare Programs Physician Fee Schedule, July 1, 2026 (posted as Proposed July 2026; DPHHS notice: used for reimbursement starting 2026-07-01) (Montana Department of Public Health and Human Services). File effective 2026-07-01. Last verified 2026-09-10. Official source.
Last updated
Last verified 2026-09-10 · file effective 2026-07-01. Psychiatric add-ons, age-band variants, and extra procedure types are cited on each rate page, not blended. See Methodology and Data Sources.
| CPT | Medicaid FFS | Facility | Effective | Compare Medicare |
|---|---|---|---|---|
| CPT 90791 | $243.67 | $192.96 | 2026-07-01 | 90791 / Montana |
| CPT 90792 | $284.05 | $223.95 | 2026-07-01 | 90792 / Montana |
| CPT 90832 | $120.66 | $97.66 | 2026-07-01 | 90832 / Montana |
| CPT 90834 | $160.10 | $129.11 | 2026-07-01 | 90834 / Montana |
| CPT 90837 | $234.75 | $190.15 | 2026-07-01 | 90837 / Montana |
| CPT 90839 | $225.36 | $182.17 | 2026-07-01 | 90839 / Montana |
| CPT 90846 | $148.83 | $139.44 | 2026-07-01 | 90846 / Montana |
| CPT 90847 | $154.00 | $144.61 | 2026-07-01 | 90847 / Montana |
| CPT 90853 | $42.72 | $34.27 | 2026-07-01 | 90853 / Montana |
How Montana Medicaid compares with Medicare and UnitedHealthcare
In Montana, Medicaid fee-for-service pays $234.75 for CPT 90837, from the MT DPHHS Physician file effective 2026-07-01. Medicare pays $167.00 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 140.6% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $142.20, and the middle 80% of published UHC rates run from $104.72 to $217.24 (UHC price transparency file dated 2026-09-01).
Related official rates
- CPT 90837 Medicare and Medicaid FFS in Montana
- Compare a 90837 offer in Montana
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in Montana
- CPT 90834 Medicare and Medicaid FFS in Montana
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
Which psychotherapy codes have official Montana Medicaid FFS amounts?
Montana Medicaid FFS is parsed for CPT 90791 $243.67; CPT 90792 $284.05; CPT 90832 $120.66; CPT 90834 $160.10; CPT 90837 $234.75; CPT 90839 $225.36; CPT 90846 $148.83; CPT 90847 $154.00; CPT 90853 $42.72.
What is the Montana Medicaid FFS amount for CPT 90837?
$234.75 (facility $190.15) from MT DPHHS Physician, effective 2026-07-01, last verified 2026-09-10.
What official file is the Montana Medicaid FFS extract from?
Montana Department of Public Health and Human Services: Montana Healthcare Programs Physician Fee Schedule, July 1, 2026 (posted as Proposed July 2026; DPHHS notice: used for reimbursement starting 2026-07-01). Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are Montana Medicaid MCO or commercial rates in these tables?
This hub lists official Medicaid fee-for-service cells. Commercial price transparency percentiles and Medicaid MCO rates stay Coming soon.
How does Montana Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
Montana Medicaid fee-for-service pays $234.75 for CPT 90837, which is 140.6% of the lowest Montana Medicare non-facility amount ($167.00, CMS RVU26D). The UnitedHealthcare median is $142.20 (85.1% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.