New Jersey Medicaid rate for CPT 99284
NJ FamilyCare pays a median of $82.36 across its rate types for CPT 99284 in its July 2026 fee-for-service schedule: the 10th-lowest of 42 state Medicaid programs, at 86% of the $95.28 median.
- Non-facility rate
- $82.36
- Rank
- 33 of 42
- vs. state median
- 86%
- vs. NJ Medicare
- 65-66%
What NJ FamilyCare publishes for 99284
10th-lowest of 42 · 86% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2026
$75.68 to $89.04 across 4 rate types
- Children Specialist or Purchase
- $89.04
- Fee Specialist or Purchase
- $89.04
- Children Non Specialist or Rental
- $75.68
- Fee Non Specialist or Rental
- $75.68
1 rate type
- Children Non Specialist or Rental and 3 more (SA)
- $75.68
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
99284 in neighboring states
Each state's comparable non-facility rate for 99284 in its current schedule.
| State | Rate | vs. New Jersey |
|---|---|---|
| Delaware | $114.99 | +40% |
| Pennsylvania | $95.33 | +16% |
99284 in every state
Map and ranking of every state program that prices 99284.
Compare 99284 across states99284 under Medicare
Medicare's 2026 non-facility payment for 99284 in New Jersey is $124.42 to $127.20 across its 2 payment localities; NJ FamilyCare's rate is 65-66% of that. The national amount before geographic adjustment is $118.239.
See 99284 Medicare ratesSee New Jersey's full schedule: all 12,793 codes, every published period, and commercial payer rates for 99284.
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