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Fee-for-service rateAs of October 2026

Rhode Island Medicaid rate for CPT 20610

Rhode Island Medicaid pays $25.20 for CPT 20610 in its October 2026 fee-for-service schedule: the 3rd-lowest of 44 state Medicaid programs, at 46% of the $54.825 median.

Non-facility rate
$25.20
Rank
42 of 44
vs. state median
46%
vs. RI Medicare
36%

What Rhode Island Medicaid publishes for 20610

3rd-lowest of 44 · 46% of median

3rd-lowest of 44 · 46% of median

Schedule
October 2026
In effect since
Apr 1, 1993
30 rate types
Level 3 · PAC I · Up to 4 units (59 + XS)
$25.20
Level 3 · PAC I · Up to 4 units (59)
$25.20
Level 3 · PAC I · Up to 4 units (AB)
$25.20
Level 3 · PAC I · Up to 4 units (LT)
$25.20
Level 3 · PAC I · Up to 4 units (RT)
$25.20
Level 3 · PAC I · Up to 4 units (XS)
$25.20
Level 3 · PAC P · Up to 4 units (50 + 51 + 79)
$37.80
Level 3 · PAC P · Up to 4 units (50 + 51)
$37.80
Level 3 · PAC P · Up to 4 units (50 + 59 + 51)
$37.80
Level 3 · PAC P · Up to 4 units (50 + 59)
$37.80
Level 3 · PAC P · Up to 4 units (50 + 79 + LT + RT)
$37.80
Level 3 · PAC P · Up to 4 units (50 + 79 + RT + LT)
$37.80
Level 3 · PAC P · Up to 4 units (50 + LT + 59 + RT)
$37.80
Level 3 · PAC P · Up to 4 units (50 + LT + 79 + RT)
$37.80
Level 3 · PAC P · Up to 4 units (50 + LT + RT)
$37.80
Level 3 · PAC P · Up to 4 units (50 + LT)
$37.80
Level 3 · PAC P · Up to 4 units (50 + RT + 59 + LT)
$37.80
Level 3 · PAC P · Up to 4 units (50 + RT + 79 + LT)
$37.80
Level 3 · PAC P · Up to 4 units (50 + RT + LT)
$37.80
Level 3 · PAC P · Up to 4 units (50 + RT)
$37.80
Level 3 · PAC P · Up to 4 units (50)
$37.80
Level 3 · PAC P · Up to 4 units (52)
$12.60
Level 3 · PAC P · Up to 4 units (53)
$12.60
Level 3 · PAC P · Up to 4 units (62)
$14.49
Level 3 · PAC P · Up to 4 units (80 + 59)
$3.78
Level 3 · PAC P · Up to 4 units (80)
$3.78
Level 3 · PAC P · Up to 4 units (AA + 51)
$6.30
Level 3 · PAC P · Up to 4 units (AA)
$6.30
Level 3 · PAC P · Up to 4 units (AD)
$6.30
Level 3 · PAC P · Up to 4 units (QZ)
$5.04

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. EOHHS Fee Schedules

20610 in neighboring states

Each state's comparable non-facility rate for 20610 in its current schedule.

StateRatevs. Rhode Island
Connecticut$52.95+110%
Massachusetts$49.06+95%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in Rhode Island is $70.10; Rhode Island Medicaid's rate is 36% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See Rhode Island's full schedule: all 12,354 codes, every published period, and commercial payer rates for 20610.

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Other Rhode Island Medicaid rates