New Jersey Medicaid rate for CPT 96372
NJ FamilyCare pays a median of $10.95 across its rate types for CPT 96372 in its July 2026 fee-for-service schedule: the 10th-lowest of 42 state Medicaid programs, at 86% of the $12.79 median.
- Non-facility rate
- $10.95
- Rank
- 33 of 42
- vs. state median
- 86%
- vs. NJ Medicare
- 64-66%
What NJ FamilyCare publishes for 96372
10th-lowest of 42 · 86% of median
- Schedule
- July 2026
- In effect since
- Jul 1, 2026
$6.92 to $16.18 across 4 rate types
- Children Specialist or Purchase
- $16.18
- Children Non Specialist or Rental
- $13.76
- Fee Specialist or Purchase
- $8.14
- Fee Non Specialist or Rental
- $6.92
6 rate types
- Children Non Specialist or Rental and 3 more (AG)
- $7.43
- Children Non Specialist or Rental and 1 more (FP)
- $23.96
- Children Non Specialist or Rental and 1 more (SA)
- $13.07
- Children Non Specialist or Rental and 3 more (SB)
- $7.83
- Children Specialist or Purchase and 1 more (FP)
- $28.19
- Fee Non Specialist or Rental and 1 more (SA)
- $6.66
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
96372 in neighboring states
Each state's comparable non-facility rate for 96372 in its current schedule.
| State | Rate | vs. New Jersey |
|---|---|---|
| Delaware | $14.95 | +37% |
| New York | $13.36 | +22% |
| Pennsylvania | $12.70 | +16% |
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 New Jersey is $16.48 to $17.24 across its 2 payment localities; NJ FamilyCare's rate is 64-66% of that. The national amount before geographic adjustment is $15.364.
See 96372 Medicare ratesSee New Jersey's full schedule: all 12,793 codes, every published period, and commercial payer rates for 96372.
Book a 15-min Medicaid walkthrough