Georgia Medicaid Fee Schedule

Georgia Medicaid, published by the Georgia Department of Community Health (DCH). Schedules effective through 2026.

Georgia publishes 9,156 Medicaid fee-for-service rates across 6 service categories. An established-patient office visit (99213) pays $82.05, a two-view chest X-ray (71046) $26.19 and a CPAP device (E0601) $893.70. Pooled across categories with a national Medicare comparator, Georgia's published rates run a median 86.2% of the Medicare amount, ranking 18 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes Georgia schedules export as CSV with the Rates plan.

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Georgia's published schedules by category

Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.

CategoryCodesEffectiveMedian % of MedicareExample ratePA required
Physician6,374202685.5%$82.05 Office visit, established patient, low complexity (20-29 min) (99213)--
Lab & Imaging2,0562026101.5%$26.19 Chest X-ray, 2 views (71046)--
DME & Supplies577202668.2%$893.70 Continuous positive airway pressure (cpap) device (E0601)--
Vision43202683.5%$99.76 Eye exam, new patient, comprehensive (92004)--
Behavioral Health10202661%$111.16 Psychotherapy, 60 minutes (90837)--
State-Specific Services96202675.4%$20.52 Telehealth originating site facility fee (Q3014)--
DentalGeorgia's dental Medicaid rates live in the dental section, with their own per-state page.

Georgia also publishes 2 anesthesia codes (2026), too few or too old to summarize here.

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.

Where Georgia publishes its fee schedules

Publisher
Georgia Department of Community Health (DCH)
Program
Georgia Medicaid
Official source
https://www.mmis.georgia.gov/portal/Default.aspx?TabName=Fee%20Schedules
Last checked
Sep 6, 2026

ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.

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These are common-procedure samples. The complete Georgia schedules, every category and every code, export as CSV on the Rates plan.

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Frequently asked questions

Does Georgia publish a Medicaid fee schedule?

Yes. Georgia publishes 9,156 Medicaid fee-for-service procedure rates across 6 service categories, effective through 2026, all collected and normalized here with plain-language procedure names. Georgia Department of Community Health (DCH) publishes Georgia's Medicaid fee schedules.

Who publishes Georgia's Medicaid fee schedule?

Georgia Department of Community Health (DCH) publishes Georgia's Medicaid fee schedules. The state's own fee-schedule page is https://www.mmis.georgia.gov/portal/Default.aspx?TabName=Fee%20Schedules. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Sep 6, 2026).

What does Georgia Medicaid pay for common services?

An established-patient office visit (99213) pays $82.05, a two-view chest X-ray (71046) $26.19 and a CPAP device (E0601) $893.70. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.

How do Georgia's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, Georgia's published rates run a median 86.2% of the Medicare amount, ranking 18 of 49 jurisdictions with a comparable basis.

What service categories does Georgia publish?

Physician (6,374 codes), Lab & Imaging (2,056 codes), DME & Supplies (577 codes), Vision (43 codes), Behavioral Health (10 codes), State-Specific Services (96 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from Georgia's currently published fee schedules, the newest effective 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.