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Fee-for-service rateAs of January 2026

Delaware Medicaid rate for CPT 99214

Delaware Medical Assistance Program pays $131.96 for CPT 99214 in its January 2026 fee-for-service schedule: the 9th-highest of 45 state Medicaid programs, at 130% of the $101.32 median.

Non-facility rate
$131.96
Rank
9 of 45
vs. state median
130%
vs. DE Medicare
98%

What Delaware Medical Assistance Program publishes for 99214

9th-highest of 45 · 130% of median

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

99214 in neighboring states

Each state's comparable non-facility rate for 99214 in its current schedule.

StateRatevs. Delaware
Maryland$133.26+1%
New Jersey$97.55-26%
Pennsylvania$54.42-59%

99214 under Medicare

Medicare's 2026 non-facility payment for 99214 in Delaware is $134.65; Delaware Medical Assistance Program's rate is 98% of that. The national amount before geographic adjustment is $135.608.

See 99214 Medicare rates

See Delaware's full schedule: all 10,050 codes, every published period, and commercial payer rates for 99214.

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Other Delaware Medical Assistance Program rates