Massachusetts Medicaid rate for CPT 45378
MassHealth pays $262.58 for CPT 45378 in its October 2026 fee-for-service schedule: the 15th-lowest of 44 state Medicaid programs, at 88% of the $299.605 median.
- Non-facility rate
- $262.58
- Rank
- 30 of 44
- vs. state median
- 88%
- vs. MA Medicare
- 122-134%
What MassHealth publishes for 45378
15th-lowest of 44 · 88% of median
- Schedule
- October 2026
- In effect since
- Oct 1, 2026
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. 101 CMR 317.00, Rates for Medicine Services
45378 in neighboring states
Each state's comparable non-facility rate for 45378 in its current schedule.
| State | Rate | vs. Massachusetts |
|---|---|---|
| Connecticut | $274.43 | +5% |
| New Hampshire | $164.22 | -37% |
| Rhode Island | $172.14 | -34% |
| Vermont | $314.66 | +20% |
45378 in every state
Map and ranking of every state program that prices 45378.
Compare 45378 across states45378 under Medicare
Medicare's 2026 non-facility payment for 45378 in Massachusetts is $195.66 to $215.87 across its 2 payment localities; MassHealth's rate is 122-134% of that. The national amount before geographic adjustment is $378.098.
See 45378 Medicare ratesSee Massachusetts's full schedule: all 7,483 codes, every published period, and commercial payer rates for 45378.
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