New Jersey Medicaid rate for CPT 99203
NJ FamilyCare pays a median of $84.64 across its rate types for CPT 99203 in its July 2026 fee-for-service schedule: the 20th-lowest of 45 state Medicaid programs, at 95% of the $89.35 median.
- Non-facility rate
- $84.64
- Rank
- 26 of 45
- vs. state median
- 95%
- vs. NJ Medicare
- 65-67%
What NJ FamilyCare publishes for 99203
20th-lowest of 45 · 95% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2026
$77.77 to $91.50 across 4 rate types
- Children Specialist or Purchase
- $91.50
- Fee Specialist or Purchase
- $91.50
- Children Non Specialist or Rental
- $77.77
- Fee Non Specialist or Rental
- $77.77
17 rate types
- Children Non Specialist or Rental and 1 more (FP + 22)
- $305.23
- Children Non Specialist or Rental and 1 more (FP + 52)
- $199.99
- Children Non Specialist or Rental and 3 more (FP + SB)
- $235.28
- Children Non Specialist or Rental and 3 more (FP)
- $235.28
- Children Non Specialist or Rental and 3 more (HF + SA)
- $130.01
- Children Non Specialist or Rental and 3 more (HF)
- $130.01
- Children Non Specialist or Rental and 3 more (SA + UD)
- $77.77
- Children Non Specialist or Rental and 3 more (SA)
- $77.77
- Children Non Specialist or Rental and 3 more (SB + 52)
- $91.50
- Children Non Specialist or Rental and 3 more (SB)
- $91.50
- Children Non Specialist or Rental (UC)
- $72.26
- Children Non Specialist or Rental and 1 more (UD)
- $170.15
- Children Specialist or Purchase and 1 more (FP + 52)
- $235.28
- Children Specialist or Purchase (UC)
- $85.01
- Children Specialist or Purchase and 1 more (UD)
- $200.18
- Fee Non Specialist or Rental (UC)
- $95.10
- Fee Specialist or Purchase (UC)
- $111.88
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
99203 in neighboring states
Each state's comparable non-facility rate for 99203 in its current schedule.
| State | Rate | vs. New Jersey |
|---|---|---|
| Delaware | $114.26 | +35% |
| Pennsylvania | $54.25 | -36% |
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 New Jersey is $125.64 to $130.71 across its 2 payment localities; NJ FamilyCare's rate is 65-67% of that. The national amount before geographic adjustment is $117.571.
See 99203 Medicare ratesSee New Jersey's full schedule: all 12,793 codes, every published period, and commercial payer rates for 99203.
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