Vermont Medicaid rate for CPT 99203
Vermont Medicaid pays a median of $119.26 across its rate types for CPT 99203 in its October 2026 fee-for-service schedule: the 8th-highest of 45 state Medicaid programs, at 133% of the $89.35 median.
- Non-facility rate
- $119.26
- Rank
- 8 of 45
- vs. state median
- 133%
- vs. VT Medicare
- 104%
What Vermont Medicaid publishes for 99203
8th-highest of 45 · 133% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2026
- Prior authorization
- Not required
$97.36 to $141.17 across 2 rate types
- Provider type 037 · Specialty S12 · PAC 3
- $141.17
- Provider type 000 · Specialty 000 · PAC R
- $97.36
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. Vermont Medicaid Fee Schedule Lookup
99203 in neighboring states
Each state's comparable non-facility rate for 99203 in its current schedule.
| State | Rate | vs. Vermont |
|---|---|---|
| Massachusetts | $84.36 | -29% |
| New Hampshire | $46.60 | -61% |
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 Vermont is $114.34; Vermont Medicaid's rate is 104% of that. The national amount before geographic adjustment is $117.571.
See 99203 Medicare ratesSee Vermont's full schedule: all 11,875 codes, every published period, and commercial payer rates for 99203.
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