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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes New Mexico 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 Mexico'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 | 7,208 | Apr 2025 | 153% | $128.92 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 2,479 | Apr 2025 | 111.6% | $38.14 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 2,069 | Jul 2025 | 99% | $80.62 Continuous positive airway pressure (cpap) device (E0601) | -- |
| Drugs | 987 | May 2025 | -- | -- | -- |
| Vision | 89 | Jan 2025 | 133.4% | $207.78 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 53 | Jan 2026 | 135.2% | $104.13 Psychotherapy, 60 minutes (90837) | -- |
| Hearing | 14 | Jan 2025 | -- | -- | -- |
| Transport | 22 | 2026 | -- | $389.99 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | -- |
| State-Specific Services | 525 | Jul 2025 | 140.8% | $30.43 Telehealth originating site facility fee (Q3014) | -- |
| Dental | New Mexico'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 Mexico publishes its fee schedules
- Publisher
- New Mexico Health Care Authority (HCA)
- Program
- New Mexico Medicaid
- Official source
- https://www.hca.nm.gov/providers/fee-schedules/
- 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.
These are common-procedure samples. The complete New Mexico schedules, every category and every code, export as CSV on the Rates plan.
Compare New Mexico nationally
Frequently asked questions
Does New Mexico publish a Medicaid fee schedule?
Yes. New Mexico publishes 13,446 Medicaid fee-for-service procedure rates across 9 service categories, effective through Jan 2026, all collected and normalized here with plain-language procedure names. New Mexico Health Care Authority (HCA) publishes New Mexico's Medicaid fee schedules.
Who publishes New Mexico's Medicaid fee schedule?
New Mexico Health Care Authority (HCA) publishes New Mexico's Medicaid fee schedules. The state's own fee-schedule page is https://www.hca.nm.gov/providers/fee-schedules/. 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 New Mexico Medicaid pay for common services?
An established-patient office visit (99213) pays $128.92, a two-view chest X-ray (71046) $38.14 and a CPAP device (E0601) $80.62. 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 Mexico's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, New Mexico's published rates run a median 138.4% of the Medicare amount, ranking 2 of 49 jurisdictions with a comparable basis.
What service categories does New Mexico publish?
Physician (7,208 codes), Lab & Imaging (2,479 codes), DME & Supplies (2,069 codes), Drugs (987 codes), Vision (89 codes), Behavioral Health (53 codes), Hearing (14 codes), Transport (22 codes), State-Specific Services (525 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from New Mexico's currently published fee schedules, the newest effective Jan 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.