Virginia Medicaid rate for CPT 99203
Virginia Medicaid pays a median of $84.76 across its rate types for CPT 99203 in its October 2026 fee-for-service schedule: the 22nd-lowest of 45 state Medicaid programs, at 95% of the $89.35 median.
- Non-facility rate
- $84.76
- Rank
- 24 of 45
- vs. state median
- 95%
- vs. VA Medicare
- 64-74%
What Virginia Medicaid publishes for 99203
22nd-lowest of 45 · 95% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2026
- Prior authorization
- Not required
$84.71 to $84.80 across 2 rate types
- Ages 21+
- $84.80
- Under 21
- $84.71
2 rate types
- Under 21
- Facility $51.50
- Ages 21+
- Facility $51.56
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. DMAS Procedure Fee Files
99203 in neighboring states
Each state's comparable non-facility rate for 99203 in its current schedule.
| State | Rate | vs. Virginia |
|---|---|---|
| Kentucky | $79.04 | -7% |
| Maryland | $116.38 | +37% |
| North Carolina | $80.86 | -5% |
| West Virginia | $81.25 | -4% |
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 Virginia is $115.00 to $131.52 across its 2 payment localities; Virginia Medicaid's rate is 64-74% of that. The national amount before geographic adjustment is $117.571.
See 99203 Medicare ratesSee Virginia's full schedule: all 8,748 codes, every published period, and commercial payer rates for 99203.
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