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Fee-for-service rateAs of January 2026

Ohio Medicaid rate for CPT 99203

Ohio Medicaid pays $61.22 for CPT 99203 in its January 2026 fee-for-service schedule: the 5th-lowest of 45 state Medicaid programs, at 69% of the $89.35 median.

Non-facility rate
$61.22
Rank
41 of 45
vs. state median
69%
vs. OH Medicare
54%

What Ohio Medicaid publishes for 99203

5th-lowest of 45 · 69% of median

5th-lowest of 45 · 69% of median

Schedule
January 2026
In effect since
Jan 1, 2024

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. Ohio Medicaid Schedules & Rates

99203 in neighboring states

Each state's comparable non-facility rate for 99203 in its current schedule.

StateRatevs. Ohio
Indiana$102.28+67%
Kentucky$79.04+29%
Michigan$74.98+22%
Pennsylvania$54.25-11%
West Virginia$81.25+33%

99203 under Medicare

Medicare's 2026 non-facility payment for 99203 in Ohio is $112.50; Ohio Medicaid's rate is 54% of that. The national amount before geographic adjustment is $117.571.

See 99203 Medicare rates

See Ohio's full schedule: all 7,309 codes, every published period, and commercial payer rates for 99203.

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Other Ohio Medicaid rates