Delaware Medicaid rate for CPT 99213
Delaware Medical Assistance Program pays $92.63 for CPT 99213 in its January 2026 fee-for-service schedule: the 9th-highest of 45 state Medicaid programs, at 130% of the $71.05 median.
- Non-facility rate
- $92.63
- Rank
- 9 of 45
- vs. state median
- 130%
- vs. DE Medicare
- 98%
What Delaware Medical Assistance Program publishes for 99213
9th-highest of 45 · 130% 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
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
| State | Rate | vs. Delaware |
|---|---|---|
| Maryland | $94.62 | +2% |
| New Jersey | $68.59 | -26% |
| Pennsylvania | $35.00 | -62% |
99213 in every state
Map and ranking of every state program that prices 99213.
Compare 99213 across states99213 under Medicare
Medicare's 2026 non-facility payment for 99213 in Delaware is $94.52; Delaware Medical Assistance Program's rate is 98% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee Delaware's full schedule: all 10,050 codes, every published period, and commercial payer rates for 99213.
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