Delaware Medicaid Lab & Imaging Fee Schedule 2026

Delaware Medicaid publishes 2,020 lab & imaging procedure rates effective 2026, paying a median 98% of the national Medicare amount for the same services. This page shows published rates for common lab & imaging procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full Delaware lab & imaging schedule has 2,020 codes.

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Published codes

2,020

Lab & Imaging procedures on the 2026 schedule

Median % of Medicare

98%

vs national Medicare, GPCI-neutral

Effective vintage

2026

latest effective year on the schedule

Common lab & imaging procedures and what Delaware Medicaid pays

A curated sample of recognizable procedures from the 2,020-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.

CodeProcedureDelaware rate% of Medicare
70100Jaw (mandible) X-ray, up to 3 views$39.1796.9%
70110Jaw (mandible) X-ray, 4 or more views$41.8097%
70140Facial bone X-ray, under 3 views$30.7797%
70150Facial bone X-ray, complete, 3 or more views$45.3597%
70160Nasal bone X-ray$36.2696.9%
70200Eye socket X-ray, complete, 4 or more views$45.3697%
70210Sinus X-ray, up to 2 views$31.4196.9%
70220Sinus X-ray, 3 or more views$36.6097%
70250Skull X-ray, up to 3 views$34.6496.9%
70328Jaw joint (TMJ) X-ray, one side$33.0396.9%
70330Jaw joint (TMJ) X-ray, both sides$51.8196.9%
70360Neck soft tissue X-ray$30.1297%
70450CT scan of the head without contrast$38.47*36.1%
70480CT scan of the eye socket or inner ear without contrast$57.73*36.5%
70486CT scan of the face and sinuses without contrast$38.80*30.3%
70491CT scan of neck soft tissue with contrast$61.99*33.8%
70551MRI of the brain without contrast$189.7097.1%
70553MRI of the brain without then with contrast$307.6897.1%
71045Chest X-ray, 1 view$24.6297%
71046Chest X-ray, 2 views$32.0897%
71047Chest X-ray, 3 views$39.8797.1%
71048Chest X-ray, 4 or more views$43.7497%
71100Rib X-ray, one side$34.9997%
71101Rib X-ray, one side, with chest view$40.8197.7%
71110Rib X-ray, both sides, 3 views$41.8297.8%

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 * show the schedule's representative published variant.

More Delaware Medicaid fee schedules

Lab & Imaging rates in neighboring states

Frequently asked questions

What does Delaware Medicaid pay for laboratory tests and imaging?

Delaware Medicaid publishes 2,020 lab & imaging procedure rates effective 2026, paying a median 98% of the national Medicare amount for the same services. The schedule covers blood panels, urinalysis, X-rays, CT, MRI, and ultrasound. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.

How do Delaware's lab & imaging rates compare with Medicare?

Across lab & imaging codes with a national Medicare comparator, Delaware Medicaid pays a median 98% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do lab & imaging services need prior authorization in Delaware?

Delaware does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".

Where do these rates come from?

Directly from Delaware's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.