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Fee-for-service rateAs of January 2026

Delaware Medicaid rate for CPT 99203

Delaware Medical Assistance Program pays $114.26 for CPT 99203 in its January 2026 fee-for-service schedule: the 10th-highest of 45 state Medicaid programs, at 128% of the $89.35 median.

Non-facility rate
$114.26
Rank
10 of 45
vs. state median
128%
vs. DE Medicare
98%

What Delaware Medical Assistance Program publishes for 99203

10th-highest of 45 · 128% of median

10th-highest of 45 · 128% of median

Schedule
January 2026

Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. DMAP Practitioner Fee Schedule

99203 in neighboring states

Each state's comparable non-facility rate for 99203 in its current schedule.

StateRatevs. Delaware
Maryland$116.38+2%
New Jersey$84.64-26%
Pennsylvania$54.25-53%

99203 under Medicare

Medicare's 2026 non-facility payment for 99203 in Delaware is $116.59; Delaware Medical Assistance Program's rate is 98% of that. The national amount before geographic adjustment is $117.571.

See 99203 Medicare rates

See Delaware's full schedule: all 10,050 codes, every published period, and commercial payer rates for 99203.

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Other Delaware Medical Assistance Program rates