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63043 Medicaid reimbursement rates by state

Physician and practitioner services (fee schedule). 37 state Medicaid programs publish a fee-for-service rate for 63043 at the physician psychologist level. Rates run from $27.84 in Oregon to $562.55 in Nevada, with a median of $239.52.

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

States publishing
37
Median rate
$239.52units vary by state
Highest
$562.55Nevada
Medicare (non-facility)
—not on the physician fee schedule

63043 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
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$562.55since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$518.70since 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)$496.16since 2026-07-01——Plans must pay at least this—SoonerCare Title XIX Fee Schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$475.05since 2026-01-01——Not classified—Maryland Medicaid Professional Services
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$466.67since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$421.20since 2026-02-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$378.23since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$372.45since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$328.42since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
UtahPhysician or licensed psychologist (incl. BCBA-D) · Utah Medicaid (fee-for-service, Traditional plan)$321.94since 2022-01-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$308.47since 2017-07-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$307.21since 2022-07-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$283.74since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$261.59since 2009-12-18——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$253.93since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$252.45since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$250.77since 2026-04-01——Plans negotiate; applies out of network—BMS Palmetto Priced Codes Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$248.22since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service CPT
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$239.52since 2026-01-01——Not classified—CMAP fee schedule: Physician Surgical 04
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$238.44since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$233.80since 2013-02-01——Plans must pay at least this—Louisiana Medicaid Professional Services
North CarolinaPhysician or licensed psychologist (incl. BCBA-D) · North Carolina Medicaid Direct (fee-for-service)$228.38since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Physician Serv
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$224.67since 2013-12-31——Plans negotiate; applies out of network—Appendix DD to OAC 5160-1-60 (Non-Instit
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$196.40since 2020-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$191.17since 2023-10-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$190.26since 2026-06-01——Plans must pay at least this—Medicaid Fee-For-Service (FFS) Fee Sched
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$173.00since 2026-08-25——Not classified—Physician Fee Schedule (REF-0129-Q)
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$164.18since 2009-07-01——Plans negotiate; applies out of network—DMAS procedure fee file cptmedical3.csv
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$153.42since 2017-07-01——Not classified—SCDHHS Physician Assistant/Nurse Practit
New YorkPhysician or licensed psychologist (incl. BCBA-D) · New York Medicaid (fee-for-service)$152.79since 2023-01-01unit—Plans negotiate; applies out of network—eMedNY Physician Fee Schedule Sect 5 (Su
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$134.44since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$133.00since 2014-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$74.84since 2025-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$73.10since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$65.26since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$59.62since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$27.84since 2011-08-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee

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 63043?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $239.52. Nevada pays the most ($562.55) and Oregon the least ($27.84).

Which state pays the highest Medicaid rate for 63043?

Nevada, at $562.55, effective 2024-01-01.

Do managed-care plans pay the same rate for 63043?

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.

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