Maryland Medicaid rate for CPT 99214
Maryland Medicaid pays $133.26 for CPT 99214 in its September 2026 fee-for-service schedule: the 8th-highest of 45 state Medicaid programs, at 132% of the $101.32 median.
- Non-facility rate
- $133.26
- Rank
- 8 of 45
- vs. state median
- 132%
- vs. MD Medicare
- 88-98%
What Maryland Medicaid publishes for 99214
8th-highest of 45 · 132% of median
- Schedule
- September 2026
- Prior authorization
- Not required
$133.26 to $136.43 across 2 rate types
- PCP
- $136.43
- General
- $133.26
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
99214 in neighboring states
Each state's comparable non-facility rate for 99214 in its current schedule.
| State | Rate | vs. Maryland |
|---|---|---|
| Delaware | $131.96 | -1% |
| Pennsylvania | $54.42 | -59% |
| Virginia | $97.76 | -27% |
| West Virginia | $93.21 | -30% |
99214 in every state
Map and ranking of every state program that prices 99214.
Compare 99214 across states99214 under Medicare
Medicare's 2026 non-facility payment for 99214 in Maryland is $136.67 to $151.49 across its 3 payment localities; Maryland Medicaid's rate is 88-98% of that. The national amount before geographic adjustment is $135.608.
See 99214 Medicare ratesSee Maryland's full schedule: all 8,533 codes, every published period, and commercial payer rates for 99214.
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