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Fee-for-service rateAs of October 2026

Pennsylvania Medicaid rate for CPT 66984

Pennsylvania Medical Assistance pays $602.53 for CPT 66984 in its October 2026 fee-for-service schedule: the 11th-highest of 42 state Medicaid programs, at 126% of the $479.725 median.

Non-facility rate
$602.53
Rank
11 of 42
vs. state median
126%
vs. PA Medicare
126-135%

What Pennsylvania Medical Assistance publishes for 66984

11th-highest of 42 · 126% of median

11th-highest of 42 · 126% of median

Schedule
October 2026
In effect since
Mar 1, 2004
3 rate types
Office and 4 more (50)
$602.53
Office and 4 more (LT)
$602.53
Office and 4 more (RT)
$602.53

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

66984 in neighboring states

Each state's comparable non-facility rate for 66984 in its current schedule.

StateRatevs. Pennsylvania
Delaware$450.65-25%
Maryland$486.04-19%
New Jersey$366.42-39%
Ohio$543.55-10%
West Virginia$320.62-47%

66984 under Medicare

Medicare's 2026 non-facility payment for 66984 in Pennsylvania is $444.79 to $478.80 across its 2 payment localities; Pennsylvania Medical Assistance's rate is 126-135% of that. The national amount before geographic adjustment is $462.602.

See 66984 Medicare rates

See Pennsylvania's full schedule: all 6,593 codes, every published period, and commercial payer rates for 66984.

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Other Pennsylvania Medical Assistance rates