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Fee-for-service rateAs of July 2026

Illinois Medicaid rate for CPT 96372

Illinois Medicaid pays $9.81 for CPT 96372 in its July 2026 fee-for-service schedule: the 7th-lowest of 42 state Medicaid programs, at 77% of the $12.79 median.

Non-facility rate
$9.81
Rank
36 of 42
vs. state median
77%
vs. IL Medicare
62-67%

What Illinois Medicaid publishes for 96372

7th-lowest of 42 · 77% of median

7th-lowest of 42 · 77% of median

Schedule
July 2026
In effect since
Jan 1, 2009
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

96372 in neighboring states

Each state's comparable non-facility rate for 96372 in its current schedule.

StateRatevs. Illinois
Iowa$3.59-63%
Indiana$13.11+34%
Kentucky$18.10+85%
Wisconsin$3.30-66%

96372 under Medicare

Medicare's 2026 non-facility payment for 96372 in Illinois is $14.74 to $15.91 across its 4 payment localities; Illinois Medicaid's rate is 62-67% of that. The national amount before geographic adjustment is $15.364.

See 96372 Medicare rates

See Illinois's full schedule: all 9,319 codes, every published period, and commercial payer rates for 96372.

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Other Illinois Medicaid rates