New Hampshire Medicaid rate for CPT 99213
New Hampshire Medicaid pays $46.77 for CPT 99213 in its July 2026 fee-for-service schedule: the 9th-lowest of 45 state Medicaid programs, at 66% of the $71.05 median.
- Non-facility rate
- $46.77
- Rank
- 37 of 45
- vs. state median
- 66%
- vs. NH Medicare
- 48%
What New Hampshire Medicaid publishes for 99213
9th-lowest of 45 · 66% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2023
- Prior authorization
- Not required
9 rate types
- General (33)
- $64.62
- General (HE)
- $92.06
- General (HF)
- $137.17
- General (HW + U1)
- $92.06
- General (HW + U2)
- $92.06
- General (HW + U5)
- $92.06
- General (HW + U6)
- $92.06
- General (HW + U7)
- $92.06
- General (U1)
- $137.17
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. NH MMIS Documents & Forms
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
| State | Rate | vs. New Hampshire |
|---|---|---|
| Massachusetts | $68.11 | +46% |
| Vermont | $79.37 | +70% |
99213 in every state
Map and ranking of every state program that prices 99213.
Compare 99213 across states99213 under Medicare
Medicare's 2026 non-facility payment for 99213 in New Hampshire is $96.82; New Hampshire Medicaid's rate is 48% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee New Hampshire's full schedule: all 12,538 codes, every published period, and commercial payer rates for 99213.
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