PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of January 2026

Montana Medicaid rate for CPT 45378

Montana Medicaid pays $459.59 for CPT 45378 in its January 2026 fee-for-service schedule: the 4th-highest of 44 state Medicaid programs, at 153% of the $299.605 median.

Non-facility rate
$459.59
Rank
4 of 44
vs. state median
153%
vs. MT Medicare
122%

What Montana Medicaid publishes for 45378

4th-highest of 44 · 153% of median

4th-highest of 44 · 153% of median

Schedule
January 2026
In effect since
Jul 1, 2025
Prior authorization
Not required

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. Montana Medicaid Fee Schedules

45378 in neighboring states

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

StateRatevs. Montana
Idaho$302.60-34%
North Dakota$416.05-9%
South Dakota$356.09-23%
Wyoming$291.67-37%

45378 under Medicare

Medicare's 2026 non-facility payment for 45378 in Montana is $378.07; Montana Medicaid's rate is 122% of that. The national amount before geographic adjustment is $378.098.

See 45378 Medicare rates

See Montana's full schedule: all 10,452 codes, every published period, and commercial payer rates for 45378.

Book a 15-min Medicaid walkthrough

Other Montana Medicaid rates