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Fee-for-service rateAs of January 2026

Montana Medicaid rate for CPT 96372

Montana Medicaid pays $19.53 for CPT 96372 in its January 2026 fee-for-service schedule: the 4th-highest of 42 state Medicaid programs, at 153% of the $12.79 median.

Non-facility rate
$19.53
Rank
4 of 42
vs. state median
153%
vs. MT Medicare
127%

What Montana Medicaid publishes for 96372

4th-highest of 42 · 153% of median

4th-highest of 42 · 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

96372 in neighboring states

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

StateRatevs. Montana
Idaho$12.48-36%
North Dakota$16.90-13%
South Dakota$14.61-25%
Wyoming$12.44-36%

96372 under Medicare

Medicare's 2026 non-facility payment for 96372 in Montana is $15.36; Montana Medicaid's rate is 127% of that. The national amount before geographic adjustment is $15.364.

See 96372 Medicare rates

See Montana's full schedule: all 10,452 codes, every published period, and commercial payer rates for 96372.

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Other Montana Medicaid rates