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Fee-for-service rateAs of October 2026

South Carolina Medicaid rate for CPT 93000

Healthy Connections pays $9.43 for CPT 93000 in its October 2026 fee-for-service schedule: the 2nd-lowest of 45 state Medicaid programs, at 65% of the $14.55 median.

Non-facility rate
$9.43
Rank
44 of 45
vs. state median
65%
vs. SC Medicare
65%

What Healthy Connections publishes for 93000

2nd-lowest of 45 · 65% of median

2nd-lowest of 45 · 65% of median

Schedule
October 2026
In effect since
Jul 1, 2024
$7.54 to $13.20 across 4 rate types
Pediatric Subspecialty
$13.20
General
$9.43
Nurse Midwife
$7.54
PA/NP
$7.54

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

93000 in neighboring states

Each state's comparable non-facility rate for 93000 in its current schedule.

StateRatevs. South Carolina
Georgia$25.09+166%
North Carolina$16.34+73%

93000 under Medicare

Medicare's 2026 non-facility payment for 93000 in South Carolina is $14.58; Healthy Connections's rate is 65% of that. The national amount before geographic adjustment is $15.364.

See 93000 Medicare rates

See South Carolina's full schedule: all 8,625 codes, every published period, and commercial payer rates for 93000.

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Other Healthy Connections rates