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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes New Jersey schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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New Jersey'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.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,804 | 2026 | 80.6% | $74.15 Office visit, established patient, low complexity (20-29 min) (99213) | 61 |
| Lab & Imaging | 2,234 | 2026 | 80% | $16.98 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,751 | 2026 | 68.7% | $284.20 Continuous positive airway pressure (cpap) device (E0601) | 548 |
| Drugs | 953 | 2026 | -- | -- | -- |
| Vision | 136 | 2026 | 74.5% | $111.66 Eye exam, new patient, comprehensive (92004) | 39 |
| Behavioral Health | 46 | 2026 | 92.4% | $83.51 Psychotherapy, 60 minutes (90837) | 15 |
| Hearing | 11 | 2026 | -- | $1,290.00 Hearing aid, digital, binaural, bte (V5261) | 4 |
| Transport | 11 | 2026 | -- | $58.00 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | 5 |
| State-Specific Services | 209 | 2026 | 51.9% | -- | 37 |
| Dental | New Jersey's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
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 New Jersey publishes its fee schedules
- Publisher
- New Jersey Department of Human Services, Division of Medical Assistance and Health Services (DMAHS)
- Program
- NJ FamilyCare
- Official source
- https://www.njmmis.com/
- Last checked
- Aug 21, 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.
These are common-procedure samples. The complete New Jersey schedules, every category and every code, export as CSV on the Rates plan.
Compare New Jersey nationally
Frequently asked questions
Does New Jersey publish a Medicaid fee schedule?
Yes. New Jersey publishes 12,155 Medicaid fee-for-service procedure rates across 9 service categories, effective through 2026, all collected and normalized here with plain-language procedure names. New Jersey Department of Human Services, Division of Medical Assistance and Health Services (DMAHS) publishes New Jersey's Medicaid fee schedules for NJ FamilyCare.
Who publishes New Jersey's Medicaid fee schedule?
New Jersey Department of Human Services, Division of Medical Assistance and Health Services (DMAHS) publishes New Jersey's Medicaid fee schedules for NJ FamilyCare. The state's own fee-schedule page is https://www.njmmis.com/. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does New Jersey Medicaid pay for common services?
An established-patient office visit (99213) pays $74.15, a two-view chest X-ray (71046) $16.98 and a CPAP device (E0601) $284.20. 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 New Jersey's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, New Jersey's published rates run a median 79.4% of the Medicare amount, ranking 31 of 49 jurisdictions with a comparable basis.
What service categories does New Jersey publish?
Physician (6,804 codes), Lab & Imaging (2,234 codes), DME & Supplies (1,751 codes), Drugs (953 codes), Vision (136 codes), Behavioral Health (46 codes), Hearing (11 codes), Transport (11 codes), State-Specific Services (209 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from New Jersey'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.