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Fee-for-service rateAs of July 2026

New Jersey Medicaid rate for CPT 99283

NJ FamilyCare pays a median of $48.44 across its rate types for CPT 99283 in its July 2026 fee-for-service schedule: the 9th-lowest of 42 state Medicaid programs, at 86% of the $56.245 median.

Non-facility rate
$48.44
Rank
34 of 42
vs. state median
86%
vs. NJ Medicare
65-66%

What NJ FamilyCare publishes for 99283

9th-lowest of 42 · 86% of median

9th-lowest of 42 · 86% of median

Schedule
July 2026
In effect since
Jul 1, 2026
$44.50 to $52.38 across 4 rate types
Children Specialist or Purchase
$52.38
Fee Specialist or Purchase
$52.35
Children Non Specialist or Rental
$44.53
Fee Non Specialist or Rental
$44.50
2 rate types
Children Non Specialist or Rental and 1 more (SA)
$42.30
Fee Non Specialist or Rental and 1 more (SA)
$44.50

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

99283 in neighboring states

Each state's comparable non-facility rate for 99283 in its current schedule.

StateRatevs. New Jersey
Delaware$67.57+39%
Pennsylvania$56.65+17%

99283 under Medicare

Medicare's 2026 non-facility payment for 99283 in New Jersey is $73.12 to $74.79 across its 2 payment localities; NJ FamilyCare's rate is 65-66% of that. The national amount before geographic adjustment is $69.474.

See 99283 Medicare rates

See New Jersey's full schedule: all 12,793 codes, every published period, and commercial payer rates for 99283.

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Other NJ FamilyCare rates