New Jersey Medicaid rate for CPT 45378
NJ FamilyCare pays a median of $238.04 across its rate types for CPT 45378 in its July 2026 fee-for-service schedule: the 10th-lowest of 44 state Medicaid programs, at 79% of the $299.605 median.
- Non-facility rate
- $238.04
- Rank
- 35 of 44
- vs. state median
- 79%
- vs. NJ Medicare
- 111-117%
What NJ FamilyCare publishes for 45378
10th-lowest of 44 · 79% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2026
$164.50 to $332.41 across 4 rate types
- Children Specialist or Purchase
- $332.41
- Children Non Specialist or Rental
- $282.55
- Fee Specialist or Purchase
- $193.53
- Fee Non Specialist or Rental
- $164.50
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. NJMMIS Procedure Master
45378 in neighboring states
Each state's comparable non-facility rate for 45378 in its current schedule.
| State | Rate | vs. New Jersey |
|---|---|---|
| Delaware | $366.67 | +54% |
| Pennsylvania | $180.50 | -24% |
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 New Jersey is $204.08 to $213.89 across its 2 payment localities; NJ FamilyCare's rate is 111-117% of that. The national amount before geographic adjustment is $378.098.
See 45378 Medicare ratesSee New Jersey's full schedule: all 12,793 codes, every published period, and commercial payer rates for 45378.
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