The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Maryland physician schedule has 8 codes.
- 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
$29/mo after the trial. Cancel anytime.
Published codes
8
Physician procedures on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2026
latest effective year on the schedule
Maryland's published Medicaid fee schedule covers durable medical equipment, prosthetics, orthotics, and supplies. Other service categories are paid through managed care and are not published as FFS rates.
Common physician procedures and what Maryland Medicaid pays
A curated sample of recognizable procedures from the 8-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.
| Code | Procedure | Maryland rate | % of Medicare |
|---|---|---|---|
| 99401 | Preventive counseling, 15 minutes | $42.41 | -- |
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 Maryland Medicaid fee schedules
- Maryland dme & supplies fee schedule · 1,785 codes
- Maryland other services fee schedule · 41 codes
- Maryland vision fee schedule · 7 codes
- Maryland drugs fee schedule · 1 codes
Physician rates in neighboring states
Frequently asked questions
What does Maryland Medicaid pay for physician and professional services?
Maryland Medicaid publishes 8 physician procedure rates effective 2026 on its fee-for-service schedule. The schedule covers office visits, preventive care, surgery, and evaluation and management services. 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 Maryland's physician rates compare with Medicare?
Most physician codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do physician services need prior authorization in Maryland?
Maryland 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 Maryland'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.
Get an email the next time Maryland changes these rates.