PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of October 2026

Vermont Medicaid rate for CPT 99283

Vermont Medicaid pays $56.03 for CPT 99283 in its October 2026 fee-for-service schedule: the 20th-lowest of 42 state Medicaid programs, at 100% of the $56.245 median.

Non-facility rate
$56.03
Rank
23 of 42
vs. state median
100%
vs. VT Medicare
85%

What Vermont Medicaid publishes for 99283

20th-lowest of 42 · 100% of median

20th-lowest of 42 · 100% of median

Schedule
October 2026
In effect since
Jan 1, 2026
Prior authorization
Not required

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

99283 in neighboring states

Each state's comparable non-facility rate for 99283 in its current schedule.

StateRatevs. Vermont
Massachusetts$52.15-7%
New Hampshire$44.15-21%

99283 under Medicare

Medicare's 2026 non-facility payment for 99283 in Vermont is $66.08; Vermont Medicaid's rate is 85% of that. The national amount before geographic adjustment is $69.474.

See 99283 Medicare rates

See Vermont's full schedule: all 11,875 codes, every published period, and commercial payer rates for 99283.

Book a 15-min Medicaid walkthrough

Other Vermont Medicaid rates