Pennsylvania Medicaid rate for CPT 96372
Pennsylvania Medical Assistance pays $12.70 for CPT 96372 in its October 2026 fee-for-service schedule: the 21st-lowest of 42 state Medicaid programs, at 99% of the $12.79 median.
- Non-facility rate
- $12.70
- Rank
- 22 of 42
- vs. state median
- 99%
- vs. PA Medicare
- 80-87%
What Pennsylvania Medical Assistance publishes for 96372
21st-lowest of 42 · 99% of median
- Schedule
- October 2026
- In effect since
- Oct 1, 2023
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
96372 in neighboring states
Each state's comparable non-facility rate for 96372 in its current schedule.
| State | Rate | vs. Pennsylvania |
|---|---|---|
| Delaware | $14.95 | +18% |
| Maryland | $15.75 | +24% |
| New Jersey | $10.95 | -14% |
| New York | $13.36 | +5% |
| Ohio | $13.54 | +7% |
| West Virginia | $10.25 | -19% |
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 Pennsylvania is $14.58 to $15.91 across its 2 payment localities; Pennsylvania Medical Assistance's rate is 80-87% of that. The national amount before geographic adjustment is $15.364.
See 96372 Medicare ratesSee Pennsylvania's full schedule: all 6,593 codes, every published period, and commercial payer rates for 96372.
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