New Jersey Medicaid Fee Schedule

New Jersey publishes 12,155 Medicaid fee-for-service rates across 9 service categories. 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.

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These 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
  • Full state Medicaid dental network lists
  • Email alerts when a state changes its rates
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New Jersey's published schedules by category

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.

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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, all collected and normalized here with plain-language procedure names.

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), Other Services (209 codes), Vision (136 codes), Behavioral Health (46 codes), Hearing (11 codes), Transport (11 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 and are re-collected on a rolling monthly cadence, so most schedules here are effective 2026. This page updates automatically after each collection sweep.