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Fee-for-service rateAs of October 2026

Rhode Island Medicaid rate for CPT 96372

Rhode Island Medicaid pays $12.59 for CPT 96372 in its October 2026 fee-for-service schedule: the 20th-lowest of 42 state Medicaid programs, at 98% of the $12.79 median.

Non-facility rate
$12.59
Rank
23 of 42
vs. state median
98%
vs. RI Medicare
80%

What Rhode Island Medicaid publishes for 96372

20th-lowest of 42 · 98% of median

20th-lowest of 42 · 98% of median

Schedule
October 2026
In effect since
Jan 1, 2009
4 rate types
Level 3 · PAC I · Up to 5 units (59)
$12.59
Level 3 · PAC I · Up to 5 units (PO)
$12.59
Level 3 · PAC I · Up to 5 units (XS)
$12.59
Level 3 · PAC I · Up to 5 units (XU)
$12.59

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. EOHHS Fee Schedules

96372 in neighboring states

Each state's comparable non-facility rate for 96372 in its current schedule.

StateRatevs. Rhode Island
Connecticut$11.57-8%
Massachusetts$10.79-14%

96372 under Medicare

Medicare's 2026 non-facility payment for 96372 in Rhode Island is $15.74; Rhode Island Medicaid's rate is 80% of that. The national amount before geographic adjustment is $15.364.

See 96372 Medicare rates

See Rhode Island's full schedule: all 12,354 codes, every published period, and commercial payer rates for 96372.

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Other Rhode Island Medicaid rates