Massachusetts Medicaid rate for CPT 20610
MassHealth pays $49.06 for CPT 20610 in its October 2026 fee-for-service schedule: the 14th-lowest of 44 state Medicaid programs, at 89% of the $54.825 median.
- Non-facility rate
- $49.06
- Rank
- 31 of 44
- vs. state median
- 89%
- vs. MA Medicare
- 64-70%
What MassHealth publishes for 20610
14th-lowest of 44 · 89% of median
- Schedule
- October 2026
- In effect since
- Oct 1, 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. 101 CMR 317.00, Rates for Medicine Services
20610 in neighboring states
Each state's comparable non-facility rate for 20610 in its current schedule.
| State | Rate | vs. Massachusetts |
|---|---|---|
| Connecticut | $52.95 | +8% |
| New Hampshire | $24.08 | -51% |
| Rhode Island | $25.20 | -49% |
| Vermont | $56.48 | +15% |
20610 in every state
Map and ranking of every state program that prices 20610.
Compare 20610 across states20610 under Medicare
Medicare's 2026 non-facility payment for 20610 in Massachusetts is $70.39 to $76.90 across its 2 payment localities; MassHealth's rate is 64-70% of that. The national amount before geographic adjustment is $68.806.
See 20610 Medicare ratesSee Massachusetts's full schedule: all 7,483 codes, every published period, and commercial payer rates for 20610.
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