Massachusetts Medicaid rate for CPT 99203
MassHealth pays $84.36 for CPT 99203 in its October 2026 fee-for-service schedule: the 19th-lowest of 45 state Medicaid programs, at 94% of the $89.35 median.
- Non-facility rate
- $84.36
- Rank
- 27 of 45
- vs. state median
- 94%
- vs. MA Medicare
- 65-70%
What MassHealth publishes for 99203
19th-lowest of 45 · 94% 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
99203 in neighboring states
Each state's comparable non-facility rate for 99203 in its current schedule.
| State | Rate | vs. Massachusetts |
|---|---|---|
| Connecticut | $78.28 | -7% |
| New Hampshire | $46.60 | -45% |
| Rhode Island | $119.95 | +42% |
| Vermont | $119.26 | +41% |
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 Massachusetts is $120.46 to $130.58 across its 2 payment localities; MassHealth's rate is 65-70% of that. The national amount before geographic adjustment is $117.571.
See 99203 Medicare ratesSee Massachusetts's full schedule: all 7,483 codes, every published period, and commercial payer rates for 99203.
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