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Fee-for-service rateAs of July 2026

New Jersey Medicaid rate for CPT 93000

NJ FamilyCare pays a median of $11.46 across its rate types for CPT 93000 in its July 2026 fee-for-service schedule: the 6th-lowest of 45 state Medicaid programs, at 79% of the $14.55 median.

Non-facility rate
$11.46
Rank
40 of 45
vs. state median
79%
vs. NJ Medicare
67-69%

What NJ FamilyCare publishes for 93000

6th-lowest of 45 · 79% of median

6th-lowest of 45 · 79% of median

Schedule
July 2026
In effect since
Jul 1, 2026
$6.66 to $17.74 across 4 rate types
Children Specialist or Purchase
$17.74
Children Non Specialist or Rental
$15.08
Fee Specialist or Purchase
$7.84
Fee Non Specialist or Rental
$6.66
2 rate types
Children Non Specialist or Rental and 3 more (26)
$5.00
Children Non Specialist or Rental and 3 more (TC)
$11.00

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

93000 in neighboring states

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

StateRatevs. New Jersey
Delaware$14.92+30%
Pennsylvania$19.22+68%

93000 under Medicare

Medicare's 2026 non-facility payment for 93000 in New Jersey is $16.49 to $17.21 across its 2 payment localities; NJ FamilyCare's rate is 67-69% of that. The national amount before geographic adjustment is $15.364.

See 93000 Medicare rates

See New Jersey's full schedule: all 12,793 codes, every published period, and commercial payer rates for 93000.

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Other NJ FamilyCare rates