New Jersey Medicaid rate for CPT 99285
NJ FamilyCare pays a median of $119.36 across its rate types for CPT 99285 in its July 2026 fee-for-service schedule: the 10th-lowest of 42 state Medicaid programs, at 86% of the $138.69 median.
- Non-facility rate
- $119.36
- Rank
- 33 of 42
- vs. state median
- 86%
- vs. NJ Medicare
- 65-66%
What NJ FamilyCare publishes for 99285
10th-lowest of 42 · 86% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2026
$109.68 to $129.03 across 4 rate types
- Children Specialist or Purchase
- $129.03
- Fee Specialist or Purchase
- $129.03
- Children Non Specialist or Rental
- $109.68
- Fee Non Specialist or Rental
- $109.68
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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. New Jersey |
|---|---|---|
| Delaware | $166.73 | +40% |
| Pennsylvania | $138.74 | +16% |
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in New Jersey is $180.24 to $184.33 across its 2 payment localities; NJ FamilyCare's rate is 65-66% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee New Jersey's full schedule: all 12,793 codes, every published period, and commercial payer rates for 99285.
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