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Fee-for-service rateAs of January 2026

Delaware Medicaid rate for CPT 99284

Delaware Medical Assistance Program pays $114.99 for CPT 99284 in its January 2026 fee-for-service schedule: the 9th-highest of 42 state Medicaid programs, at 121% of the $95.28 median.

Non-facility rate
$114.99
Rank
9 of 42
vs. state median
121%
vs. DE Medicare
98%

What Delaware Medical Assistance Program publishes for 99284

9th-highest of 42 · 121% of median

9th-highest of 42 · 121% 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

99284 in neighboring states

Each state's comparable non-facility rate for 99284 in its current schedule.

StateRatevs. Delaware
New Jersey$82.36-28%
Pennsylvania$95.33-17%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in Delaware is $117.34; Delaware Medical Assistance Program's rate is 98% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See Delaware's full schedule: all 10,050 codes, every published period, and commercial payer rates for 99284.

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Other Delaware Medical Assistance Program rates