0003A Medicaid reimbursement rate by state (2026)

Physician and practitioner services (fee schedule). Medicaid pays a median of $40.00 for 0003A across 5 states, from $36.94 in Nebraska to $45.87 in Massachusetts.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing: 5
National median: $40.00units vary by state
Lowest: $36.94Nebraska
Highest: $45.87Massachusetts

What does Medicaid pay for 0003A?

5 state Medicaid programs publish a fee-for-service rate for 0003A. The national median is $40.00 (units differ between states). Massachusetts pays the most, $45.87, and Nebraska the least, $36.94, a 1.2x spread.

0003A rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#	State	Medicaid rate	Unit	Per hour	Managed-care plans	% of Medicare
1	Massachusetts Source · since 2021-08-12	$45.87	—	—	Not classified	—
2	Georgia Source · since 2021-10-01	$40.00	—	—	Plans negotiate; applies out of network	—
3	New Jersey Source · since 2021-11-22	$40.00	—	—	Not classified	—

See all 5 states for 0003A — start free

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

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Frequently asked questions

What does Medicaid pay for 0003A?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $40.00. Massachusetts pays the most ($45.87) and Nebraska the least ($36.94).

Which state pays the highest Medicaid rate for 0003A?

Massachusetts, at $45.87, effective 2021-08-12.

Do managed-care plans pay the same rate for 0003A?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.

Related codes

Codes next to 0003A

0001APhysician and practitioner services (fee schedule) · 8 states 0002APhysician and practitioner services (fee schedule) · 7 states 0002MPhysician and practitioner services (fee schedule) · 6 states 0003MPhysician and practitioner services (fee schedule) · 7 states 0004APhysician and practitioner services (fee schedule) · 5 states 0004MPhysician and practitioner services (fee schedule) · 9 states 0006MPhysician and practitioner services (fee schedule) · 9 states

Most-published Physician & professional codes

Highest-paying states

Massachusetts Medicaid fee scheduleGeorgia Medicaid fee scheduleNew Jersey Medicaid fee schedule