21743 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $859.84 for 21743 across 33 states, from $8.10 in New Jersey to $2,269.49 in Montana.
- States publishing
- 33
- National median
- $859.84units vary by state
- Lowest
- $8.10New Jersey
- Highest
- $2,269.49Montana
What does Medicaid pay for 21743?
33 state Medicaid programs publish a fee-for-service rate for 21743. The national median is $859.84 (units differ between states). Montana pays the most, $2,269.49, and New Jersey the least, $8.10 per base unit, a 280.2x spread.
21743 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 33 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 21743?
It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $859.84. Montana pays the most ($2,269.49) and New Jersey the least ($8.10 per base unit).
Which state pays the highest Medicaid rate for 21743?
Montana, at $2,269.49, effective 2025-07-01.
Do managed-care plans pay the same rate for 21743?
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.