Delaware Medicaid rate for CPT 99204
Delaware Medical Assistance Program pays $172.47 for CPT 99204 in its January 2026 fee-for-service schedule: the 10th-highest of 45 state Medicaid programs, at 129% of the $134.20 median.
- Non-facility rate
- $172.47
- Rank
- 10 of 45
- vs. state median
- 129%
- vs. DE Medicare
- 98%
What Delaware Medical Assistance Program publishes for 99204
10th-highest of 45 · 129% 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
99204 in neighboring states
Each state's comparable non-facility rate for 99204 in its current schedule.
| State | Rate | vs. Delaware |
|---|---|---|
| Maryland | $174.01 | +1% |
| New Jersey | $127.28 | -26% |
| Pennsylvania | $90.37 | -48% |
99204 in every state
Map and ranking of every state program that prices 99204.
Compare 99204 across states99204 under Medicare
Medicare's 2026 non-facility payment for 99204 in Delaware is $175.99; Delaware Medical Assistance Program's rate is 98% of that. The national amount before geographic adjustment is $177.359.
See 99204 Medicare ratesSee Delaware's full schedule: all 10,050 codes, every published period, and commercial payer rates for 99204.
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