South Carolina Medicaid rate for CPT 45378
Healthy Connections pays $221.97 for CPT 45378 in its October 2026 fee-for-service schedule: the 7th-lowest of 44 state Medicaid programs, at 74% of the $299.605 median.
- Non-facility rate
- $221.97
- Rank
- 38 of 44
- vs. state median
- 74%
- vs. SC Medicare
- 62%
What Healthy Connections publishes for 45378
7th-lowest of 44 · 74% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2024
$177.57 to $310.75 across 4 rate types
- Pediatric Subspecialty
- $310.75
- General
- $221.97
- Nurse Midwife
- $177.57
- PA/NP
- $177.57
3 rate types
- General (FP)
- $221.97
- Nurse Midwife and 1 more (FP)
- $177.57
- Pediatric Subspecialty (FP)
- $310.75
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. SCDHHS Fee Schedules
45378 in neighboring states
Each state's comparable non-facility rate for 45378 in its current schedule.
| State | Rate | vs. South Carolina |
|---|---|---|
| Georgia | $290.95 | +31% |
| North Carolina | $291.93 | +32% |
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 South Carolina is $356.42; Healthy Connections's rate is 62% of that. The national amount before geographic adjustment is $378.098.
See 45378 Medicare ratesSee South Carolina's full schedule: all 8,625 codes, every published period, and commercial payer rates for 45378.
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