Delaware Medicaid rate for CPT 99285
Delaware Medical Assistance Program pays $166.73 for CPT 99285 in its January 2026 fee-for-service schedule: the 8th-highest of 42 state Medicaid programs, at 120% of the $138.69 median.
- Non-facility rate
- $166.73
- Rank
- 8 of 42
- vs. state median
- 120%
- vs. DE Medicare
- 98%
What Delaware Medical Assistance Program publishes for 99285
8th-highest of 42 · 120% 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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. Delaware |
|---|---|---|
| New Jersey | $119.36 | -28% |
| Pennsylvania | $138.74 | -17% |
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in Delaware is $170.13; Delaware Medical Assistance Program's rate is 98% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Delaware's full schedule: all 10,050 codes, every published period, and commercial payer rates for 99285.
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