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Fee-for-service rateAs of January 2026

North Carolina Medicaid rate for CPT 45378

NC Medicaid pays $291.93 for CPT 45378 in its January 2026 fee-for-service schedule: the 21st-lowest of 44 state Medicaid programs, at 97% of the $299.605 median.

Non-facility rate
$291.93
Rank
24 of 44
vs. state median
97%
vs. NC Medicare
82%

What NC Medicaid publishes for 45378

21st-lowest of 44 · 97% of median

21st-lowest of 44 · 97% of median

Schedule
January 2026
In effect since
Oct 1, 2025

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. NC Medicaid Physician Services Fee Schedules

45378 in neighboring states

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

StateRatevs. North Carolina
Georgia$290.95-0%
South Carolina$221.97-24%
Virginia$327.55+12%

45378 under Medicare

Medicare's 2026 non-facility payment for 45378 in North Carolina is $355.86; NC Medicaid's rate is 82% of that. The national amount before geographic adjustment is $378.098.

See 45378 Medicare rates

See North Carolina's full schedule: all 8,402 codes, every published period, and commercial payer rates for 45378.

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Other NC Medicaid rates