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Fee-for-service rateAs of March 2026

New Mexico Medicaid rate for CPT 99213

New Mexico Medicaid pays $128.92 for CPT 99213 in its March 2026 fee-for-service schedule: the 2nd-highest of 45 state Medicaid programs, at 181% of the $71.05 median.

Non-facility rate
$128.92
Rank
2 of 45
vs. state median
181%
vs. NM Medicare
141%

What New Mexico Medicaid publishes for 99213

2nd-highest of 45 · 181% of median

2nd-highest of 45 · 181% of median

Schedule
March 2026
In effect since
Jan 1, 2025

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. HCA Fee Schedules

99213 in neighboring states

Each state's comparable non-facility rate for 99213 in its current schedule.

StateRatevs. New Mexico
Arizona$60.84-53%
Colorado$73.99-43%
Oklahoma$83.62-35%
Texas$36.92-71%
Utah$71.05-45%

99213 under Medicare

Medicare's 2026 non-facility payment for 99213 in New Mexico is $91.75; New Mexico Medicaid's rate is 141% of that. The national amount before geographic adjustment is $95.193.

See 99213 Medicare rates

See New Mexico's full schedule: all 9,139 codes, every published period, and commercial payer rates for 99213.

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Other New Mexico Medicaid rates