Pennsylvania Medicaid rate for CPT 20610
Pennsylvania Medical Assistance pays $23.50 for CPT 20610 in its October 2026 fee-for-service schedule: the lowest of 44 state Medicaid programs, at 43% of the $54.825 median.
- Non-facility rate
- $23.50
- Rank
- 44 of 44
- vs. state median
- 43%
- vs. PA Medicare
- 33-36%
What Pennsylvania Medical Assistance publishes for 20610
Lowest of 44 · 43% of median
- Schedule
- October 2026
- In effect since
- Oct 1, 2023
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. DHS Outpatient Fee Schedule
20610 in neighboring states
Each state's comparable non-facility rate for 20610 in its current schedule.
| State | Rate | vs. Pennsylvania |
|---|---|---|
| Delaware | $66.67 | +184% |
| Maryland | $66.20 | +182% |
| New Jersey | $43.23 | +84% |
| Ohio | $51.36 | +119% |
| West Virginia | $47.58 | +102% |
20610 in every state
Map and ranking of every state program that prices 20610.
Compare 20610 across states20610 under Medicare
Medicare's 2026 non-facility payment for 20610 in Pennsylvania is $65.39 to $71.70 across its 2 payment localities; Pennsylvania Medical Assistance's rate is 33-36% of that. The national amount before geographic adjustment is $68.806.
See 20610 Medicare ratesSee Pennsylvania's full schedule: all 6,593 codes, every published period, and commercial payer rates for 20610.
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