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Fee-for-service rateAs of July 2026

Illinois Medicaid rate for CPT 45378

Illinois Medicaid pays $178.60 for CPT 45378 in its July 2026 fee-for-service schedule: the 4th-lowest of 44 state Medicaid programs, at 60% of the $299.605 median.

Non-facility rate
$178.60
Rank
41 of 44
vs. state median
60%
vs. IL Medicare
90-98%

What Illinois Medicaid publishes for 45378

4th-lowest of 44 · 60% of median

4th-lowest of 44 · 60% of median

Schedule
July 2026
In effect since
Apr 1, 2024
Prior authorization
Not published

Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. HFS Practitioner Fee Schedule

45378 in neighboring states

Each state's comparable non-facility rate for 45378 in its current schedule.

StateRatevs. Illinois
Iowa$329.69+85%
Indiana$304.26+70%
Kentucky$324.55+82%
Wisconsin$327.55+83%

45378 under Medicare

Medicare's 2026 non-facility payment for 45378 in Illinois is $182.09 to $199.48 across its 4 payment localities; Illinois Medicaid's rate is 90-98% of that. The national amount before geographic adjustment is $378.098.

See 45378 Medicare rates

See Illinois's full schedule: all 9,319 codes, every published period, and commercial payer rates for 45378.

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Other Illinois Medicaid rates