New Jersey Medicaid rate for CPT 20610
NJ FamilyCare pays a median of $43.23 across its rate types for CPT 20610 in its July 2026 fee-for-service schedule: the 8th-lowest of 44 state Medicaid programs, at 79% of the $54.825 median.
- Non-facility rate
- $43.23
- Rank
- 37 of 44
- vs. state median
- 79%
- vs. NJ Medicare
- 56-59%
What NJ FamilyCare publishes for 20610
8th-lowest of 44 · 79% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2026
$29.81 to $60.46 across 4 rate types
- Children Specialist or Purchase
- $60.46
- Children Non Specialist or Rental
- $51.39
- Fee Specialist or Purchase
- $35.07
- Fee Non Specialist or Rental
- $29.81
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. NJMMIS Procedure Master
20610 in neighboring states
Each state's comparable non-facility rate for 20610 in its current schedule.
| State | Rate | vs. New Jersey |
|---|---|---|
| Delaware | $66.67 | +54% |
| Pennsylvania | $23.50 | -46% |
20610 in every state
Map and ranking of every state program that prices 20610.
Compare 20610 across states20610 under Medicare
Medicare's 2026 non-facility payment for 20610 in New Jersey is $73.82 to $76.92 across its 2 payment localities; NJ FamilyCare's rate is 56-59% of that. The national amount before geographic adjustment is $68.806.
See 20610 Medicare ratesSee New Jersey's full schedule: all 12,793 codes, every published period, and commercial payer rates for 20610.
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