New York Medicaid rate for CPT 96372
NY Medicaid pays $13.36 for CPT 96372 in its October 2026 fee-for-service schedule: the 18th-highest of 42 state Medicaid programs, at 104% of the $12.79 median.
- Non-facility rate
- $13.36
- Rank
- 18 of 42
- vs. state median
- 104%
- vs. NY Medicare
- 75-90%
What NY Medicaid publishes for 96372
18th-highest of 42 · 104% of median
- Schedule
- October 2026
- In effect since
- Oct 1, 2026
- 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. eMedNY Physician Manual Fee Schedule
96372 in neighboring states
Each state's comparable non-facility rate for 96372 in its current schedule.
| State | Rate | vs. New York |
|---|---|---|
| Connecticut | $11.57 | -13% |
| Massachusetts | $10.79 | -19% |
| New Jersey | $10.95 | -18% |
| Pennsylvania | $12.70 | -5% |
| Vermont | $12.88 | -4% |
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 York is $14.80 to $17.78 across its 5 payment localities; NY Medicaid's rate is 75-90% of that. The national amount before geographic adjustment is $15.364.
See 96372 Medicare ratesSee New York's full schedule: all 638 codes, every published period, and commercial payer rates for 96372.
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