Rhode Island Medicaid rate for CPT 99203
Rhode Island Medicaid pays $119.95 for CPT 99203 in its October 2026 fee-for-service schedule: the 7th-highest of 45 state Medicaid programs, at 134% of the $89.35 median.
- Non-facility rate
- $119.95
- Rank
- 7 of 45
- vs. state median
- 134%
- vs. RI Medicare
- 100%
What Rhode Island Medicaid publishes for 99203
7th-highest of 45 · 134% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2026
4 rate types
- Level 3 · PAC I · Up to 1 unit (25)
- $119.95
- Level 3 · PAC I · Up to 1 unit (GA)
- $119.95
- Level 3 · PAC I · Up to 1 unit (GT)
- $119.95
- Level 4 · PAC S · Up to 1 unit (U8)
- $101.96
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
99203 in neighboring states
Each state's comparable non-facility rate for 99203 in its current schedule.
| State | Rate | vs. Rhode Island |
|---|---|---|
| Connecticut | $78.28 | -35% |
| Massachusetts | $84.36 | -30% |
99203 in every state
Map and ranking of every state program that prices 99203.
Compare 99203 across states99203 under Medicare
Medicare's 2026 non-facility payment for 99203 in Rhode Island is $119.95; Rhode Island Medicaid's rate is 100% of that. The national amount before geographic adjustment is $117.571.
See 99203 Medicare ratesSee Rhode Island's full schedule: all 12,354 codes, every published period, and commercial payer rates for 99203.
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