99443 Medicaid reimbursement rate by state (2026)
Physician and practitioner services (fee schedule). Medicaid pays a median of $83.28 for 99443 across 9 states, from $16.29 in New Jersey to $182.19 in New Mexico.
- States publishing
- 9
- National median
- $83.28units vary by state
- Lowest
- $16.29New Jersey
- Highest
- $182.19New Mexico
What does Medicaid pay for 99443?
9 state Medicaid programs publish a fee-for-service rate for 99443. The national median is $83.28 (units differ between states). New Mexico pays the most, $182.19, and New Jersey the least, $16.29, a 11.2x spread.
99443 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 9 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 99443?
It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $83.28. New Mexico pays the most ($182.19) and New Jersey the least ($16.29).
Which state pays the highest Medicaid rate for 99443?
New Mexico, at $182.19, effective 2025-01-01.
Do managed-care plans pay the same rate for 99443?
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.