PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of October 2026

Massachusetts Medicaid rate for CPT 90834

MassHealth pays $73.46 for CPT 90834 in its October 2026 fee-for-service schedule: the 7th-lowest of 37 state Medicaid programs, at 81% of the $90.95 median.

Non-facility rate
$73.46
Rank
31 of 37
vs. state median
81%
vs. MA Medicare
60-63%

What MassHealth publishes for 90834

7th-lowest of 37 · 81% of median

7th-lowest of 37 · 81% 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

90834 in neighboring states

Each state's comparable non-facility rate for 90834 in its current schedule.

StateRatevs. Massachusetts
Connecticut$85.59+17%
New Hampshire$80.46+10%
Rhode Island$101.75+39%
Vermont$96.13+31%

90834 under Medicare

Medicare's 2026 non-facility payment for 90834 in Massachusetts is $116.60 to $122.71 across its 2 payment localities; MassHealth's rate is 60-63% of that. The national amount before geographic adjustment is $113.897.

See 90834 Medicare rates

See Massachusetts's full schedule: all 7,483 codes, every published period, and commercial payer rates for 90834.

Book a 15-min Medicaid walkthrough

Other MassHealth rates