South Carolina Medicaid rate for CPT 90834
Healthy Connections pays $70.42 for CPT 90834 in its October 2026 fee-for-service schedule: the 6th-lowest of 37 state Medicaid programs, at 77% of the $90.95 median.
- Non-facility rate
- $70.42
- Rank
- 32 of 37
- vs. state median
- 77%
- vs. SC Medicare
- 63%
What Healthy Connections publishes for 90834
6th-lowest of 37 · 77% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2024
$56.34 to $98.59 across 4 rate types
- Pediatric Subspecialty
- $98.59
- General
- $70.42
- Nurse Midwife
- $56.34
- PA/NP
- $56.34
6 rate types
- General (GT)
- $70.42
- General (HO)
- $62.90
- Nurse Midwife and 1 more (GT)
- $56.34
- Nurse Midwife and 1 more (HO)
- $50.32
- Pediatric Subspecialty (GT)
- $98.59
- Pediatric Subspecialty (HO)
- $88.06
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
90834 in neighboring states
Each state's comparable non-facility rate for 90834 in its current schedule.
| State | Rate | vs. South Carolina |
|---|---|---|
| Georgia | $68.44 | -3% |
| North Carolina | $65.81 | -7% |
90834 in every state
Map and ranking of every state program that prices 90834.
Compare 90834 across states90834 under Medicare
Medicare's 2026 non-facility payment for 90834 in South Carolina is $111.69; Healthy Connections's rate is 63% of that. The national amount before geographic adjustment is $113.897.
See 90834 Medicare ratesSee South Carolina's full schedule: all 8,625 codes, every published period, and commercial payer rates for 90834.
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