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Fee-for-service rateAs of January 2026

Ohio Medicaid rate for CPT 20610

Ohio Medicaid pays $51.36 for CPT 20610 in its January 2026 fee-for-service schedule: the 17th-lowest of 44 state Medicaid programs, at 94% of the $54.825 median.

Non-facility rate
$51.36
Rank
28 of 44
vs. state median
94%
vs. OH Medicare
78%

What Ohio Medicaid publishes for 20610

17th-lowest of 44 · 94% of median

17th-lowest of 44 · 94% of median

Schedule
January 2026
In effect since
Jan 1, 2024

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. Ohio Medicaid Schedules & Rates

20610 in neighboring states

Each state's comparable non-facility rate for 20610 in its current schedule.

StateRatevs. Ohio
Indiana$58.61+14%
Kentucky$50.81-1%
Michigan$43.88-15%
Pennsylvania$23.50-54%
West Virginia$47.58-7%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in Ohio is $65.47; Ohio Medicaid's rate is 78% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See Ohio's full schedule: all 7,309 codes, every published period, and commercial payer rates for 20610.

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Other Ohio Medicaid rates