Pennsylvania Medicaid rate for CPT 45378
Pennsylvania Medical Assistance pays $180.50 for CPT 45378 in its October 2026 fee-for-service schedule: the 6th-lowest of 44 state Medicaid programs, at 60% of the $299.605 median.
- Non-facility rate
- $180.50
- Rank
- 39 of 44
- vs. state median
- 60%
- vs. PA Medicare
- 92-101%
What Pennsylvania Medical Assistance publishes for 45378
6th-lowest of 44 · 60% of median
- Schedule
- October 2026
- In effect since
- May 15, 2009
1 rate type
- Office (SU)
- $220.50
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. DHS Outpatient Fee Schedule
45378 in neighboring states
Each state's comparable non-facility rate for 45378 in its current schedule.
| State | Rate | vs. Pennsylvania |
|---|---|---|
| Delaware | $366.67 | +103% |
| Maryland | $298.64 | +65% |
| New Jersey | $238.04 | +32% |
| Ohio | $178.57 | -1% |
| West Virginia | $254.49 | +41% |
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 Pennsylvania is $178.40 to $196.99 across its 2 payment localities; Pennsylvania Medical Assistance's rate is 92-101% of that. The national amount before geographic adjustment is $378.098.
See 45378 Medicare ratesSee Pennsylvania's full schedule: all 6,593 codes, every published period, and commercial payer rates for 45378.
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