Massachusetts Medicaid rate for CPT 99283
MassHealth pays $52.15 for CPT 99283 in its October 2026 fee-for-service schedule: the 15th-lowest of 42 state Medicaid programs, at 93% of the $56.245 median.
- Non-facility rate
- $52.15
- Rank
- 28 of 42
- vs. state median
- 93%
- vs. MA Medicare
- 72-75%
What MassHealth publishes for 99283
15th-lowest of 42 · 93% 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
99283 in neighboring states
Each state's comparable non-facility rate for 99283 in its current schedule.
| State | Rate | vs. Massachusetts |
|---|---|---|
| Connecticut | $42.89 | -18% |
| New Hampshire | $44.15 | -15% |
| Rhode Island | $38.00 | -27% |
| Vermont | $56.03 | +7% |
99283 in every state
Map and ranking of every state program that prices 99283.
Compare 99283 across states99283 under Medicare
Medicare's 2026 non-facility payment for 99283 in Massachusetts is $69.47 to $72.74 across its 2 payment localities; MassHealth's rate is 72-75% of that. The national amount before geographic adjustment is $69.474.
See 99283 Medicare ratesSee Massachusetts's full schedule: all 7,483 codes, every published period, and commercial payer rates for 99283.
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