Pennsylvania Medicaid rate for CPT 93000
Pennsylvania Medical Assistance pays $19.22 for CPT 93000 in its October 2026 fee-for-service schedule: the 11th-highest of 45 state Medicaid programs, at 132% of the $14.55 median.
- Non-facility rate
- $19.22
- Rank
- 11 of 45
- vs. state median
- 132%
- vs. PA Medicare
- 120-132%
What Pennsylvania Medical Assistance publishes for 93000
11th-highest of 45 · 132% 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
93000 in neighboring states
Each state's comparable non-facility rate for 93000 in its current schedule.
| State | Rate | vs. Pennsylvania |
|---|---|---|
| Delaware | $14.92 | -22% |
| Maryland | $14.82 | -23% |
| New Jersey | $11.46 | -40% |
| Ohio | $13.90 | -28% |
| West Virginia | $10.49 | -45% |
93000 in every state
Map and ranking of every state program that prices 93000.
Compare 93000 across states93000 under Medicare
Medicare's 2026 non-facility payment for 93000 in Pennsylvania is $14.59 to $15.97 across its 2 payment localities; Pennsylvania Medical Assistance's rate is 120-132% of that. The national amount before geographic adjustment is $15.364.
See 93000 Medicare ratesSee Pennsylvania's full schedule: all 6,593 codes, every published period, and commercial payer rates for 93000.
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