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Fee-for-service rateAs of October 2026

Massachusetts Medicaid rate for CPT 93000

MassHealth pays $10.99 for CPT 93000 in its October 2026 fee-for-service schedule: the 5th-lowest of 45 state Medicaid programs, at 76% of the $14.55 median.

Non-facility rate
$10.99
Rank
41 of 45
vs. state median
76%
vs. MA Medicare
64-70%

What MassHealth publishes for 93000

5th-lowest of 45 · 76% of median

5th-lowest of 45 · 76% 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

93000 in neighboring states

Each state's comparable non-facility rate for 93000 in its current schedule.

StateRatevs. Massachusetts
Connecticut$11.60+6%
New Hampshire$16.88+54%
Rhode Island$16.31+48%
Vermont$12.74+16%

93000 under Medicare

Medicare's 2026 non-facility payment for 93000 in Massachusetts is $15.80 to $17.27 across its 2 payment localities; MassHealth's rate is 64-70% of that. The national amount before geographic adjustment is $15.364.

See 93000 Medicare rates

See Massachusetts's full schedule: all 7,483 codes, every published period, and commercial payer rates for 93000.

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Other MassHealth rates