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19300 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 38 state Medicaid programs publish a fee-for-service rate for 19300 at the physician psychologist level. Rates run from $91.59 in California to $895.71 in Montana, with a median of $385.58.

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

States publishing
38
Median rate
$385.58units vary by state
Highest
$895.71Montana
Medicare (non-facility)
$557.92–$824.912026 physician fee schedule

19300 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaPhysician or licensed psychologist (incl. BCBA-D) · Montana Medicaid and HMK Plus (fee-for-service)$895.71since 2026-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$816.52since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$570.56since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$545.79since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$544.61since 2023-10-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$523.47since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - CPT Code
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$511.30since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$502.92since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$489.82since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$478.32since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$455.40since 2025-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$438.36since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$435.30since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$430.56since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$425.78since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$420.80since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$407.76since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$406.40since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$390.28since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$380.87since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$368.92since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical1.csv
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$366.84since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$364.93since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$364.44since 2007-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$353.44since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$350.48since 2017-07-01——Plans negotiate; applies out of network—ForwardHealth interactive max fee schedu
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$332.32since 2026-01-01——Not classified—Maryland Medicaid Professional Services
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$328.63since 2026-10-01——Plans negotiate; applies out of network—Emergency Adoption (date filed: Septembe
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$275.41since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$253.59since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$238.28since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$229.22since 2024-01-01——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$208.78since 2023-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$184.21since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$133.67since 2022-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$123.11since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$111.52since 2009-12-18——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$91.59since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for 19300?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $385.58. Montana pays the most ($895.71) and California the least ($91.59).

Which state pays the highest Medicaid rate for 19300?

Montana, at $895.71, effective 2026-07-01.

Do managed-care plans pay the same rate for 19300?

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 table shows the rule for each state, cited to the contract or statute.

Related Physician & professional codes

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Medicaid rates by state
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