G3003 Medicaid Rate by State

Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)

10 state Medicaid programs publish a fee-for-service rate for G3003 (each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)), ranging from $21.75 in Missouri to $41.28 in Montana, with a median of 80.1% of the national Medicare amount.

Every state, kept current

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This page shows one representative rate per state for G3003. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

10

Median % of Medicare

80.1%

Rate range

$21.75 - $41.28

G3003 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Hawaii$26.1982.5%--2025
Iowa$23.0972.8%--2024
Idaho$25.7381.1%Not required2026
Minnesota$23.6774.6%--2026
Missouri$21.7568.5%Not required2023
Montana$41.28130.1%--2026
New Mexico$28.9191.1%--2025
Oregon$25.43*80.1%--2026
Texas$23.26*73.3%--2024
West Virginia$22.2070%--2026

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.

Related physician codes

All 2 codes from G3002 to G3003 or every physician code by number.

Frequently asked questions

How much does Medicaid pay for G3003?

10 state Medicaid programs publish a fee-for-service rate for G3003 (each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)), ranging from $21.75 in Missouri to $41.28 in Montana, with a median of 80.1% of the national Medicare amount. The full table on this page lists every publishing state's current rate.

Which state pays the most for G3003?

Montana publishes the highest Medicaid rate for G3003 at $41.28 (130.1% of the national Medicare amount). Missouri publishes the lowest at $21.75.

Does G3003 require prior authorization under Medicaid?

No publishing state flags G3003 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.