Maryland Medicaid rate for CPT 99203
Maryland Medicaid pays $116.38 for CPT 99203 in its September 2026 fee-for-service schedule: the 9th-highest of 45 state Medicaid programs, at 130% of the $89.35 median.
- Non-facility rate
- $116.38
- Rank
- 9 of 45
- vs. state median
- 130%
- vs. MD Medicare
- 88-98%
What Maryland Medicaid publishes for 99203
9th-highest of 45 · 130% of median
- Schedule
- September 2026
- Prior authorization
- Not required
$116.38 to $119.17 across 2 rate types
- PCP
- $119.17
- General
- $116.38
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. MDH Professional Services Fee Schedule
99203 in neighboring states
Each state's comparable non-facility rate for 99203 in its current schedule.
| State | Rate | vs. Maryland |
|---|---|---|
| Delaware | $114.26 | -2% |
| Pennsylvania | $54.25 | -53% |
| Virginia | $84.76 | -27% |
| West Virginia | $81.25 | -30% |
99203 in every state
Map and ranking of every state program that prices 99203.
Compare 99203 across states99203 under Medicare
Medicare's 2026 non-facility payment for 99203 in Maryland is $118.37 to $131.52 across its 3 payment localities; Maryland Medicaid's rate is 88-98% of that. The national amount before geographic adjustment is $117.571.
See 99203 Medicare ratesSee Maryland's full schedule: all 8,533 codes, every published period, and commercial payer rates for 99203.
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