Massachusetts Medicaid rate for CPT 96372
MassHealth pays $10.79 for CPT 96372 in its October 2026 fee-for-service schedule: the 9th-lowest of 42 state Medicaid programs, at 84% of the $12.79 median.
- Non-facility rate
- $10.79
- Rank
- 34 of 42
- vs. state median
- 84%
- vs. MA Medicare
- 62-68%
What MassHealth publishes for 96372
9th-lowest of 42 · 84% 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
96372 in neighboring states
Each state's comparable non-facility rate for 96372 in its current schedule.
| State | Rate | vs. Massachusetts |
|---|---|---|
| Connecticut | $11.57 | +7% |
| New Hampshire | $13.99 | +30% |
| New York | $13.36 | +24% |
| Rhode Island | $12.59 | +17% |
| Vermont | $12.88 | +19% |
96372 in every state
Map and ranking of every state program that prices 96372.
Compare 96372 across states96372 under Medicare
Medicare's 2026 non-facility payment for 96372 in Massachusetts is $15.88 to $17.37 across its 2 payment localities; MassHealth's rate is 62-68% of that. The national amount before geographic adjustment is $15.364.
See 96372 Medicare ratesSee Massachusetts's full schedule: all 7,483 codes, every published period, and commercial payer rates for 96372.
Book a 15-min Medicaid walkthrough