South Carolina Medicaid rate for CPT 96372
Healthy Connections pays $3.72 for CPT 96372 in its October 2026 fee-for-service schedule: the 3rd-lowest of 42 state Medicaid programs, at 29% of the $12.79 median.
- Non-facility rate
- $3.72
- Rank
- 40 of 42
- vs. state median
- 29%
- vs. SC Medicare
- 25%
What Healthy Connections publishes for 96372
3rd-lowest of 42 · 29% of median
- Schedule
- October 2026
- In effect since
- Jul 11, 2011
$3.72 to $15.68 across 4 rate types
- Nurse Midwife
- $15.68
- PA/NP
- $12.55
- General
- $3.72
- Pediatric Subspecialty
- $3.72
3 rate types
- General and 1 more (FP)
- $3.72
- Nurse Midwife (FP)
- $15.68
- PA/NP (FP)
- $2.98
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
96372 in neighboring states
Each state's comparable non-facility rate for 96372 in its current schedule.
| State | Rate | vs. South Carolina |
|---|---|---|
| Georgia | $17.88 | +381% |
| North Carolina | $16.53 | +344% |
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 South Carolina is $14.60; Healthy Connections's rate is 25% of that. The national amount before geographic adjustment is $15.364.
See 96372 Medicare ratesSee South Carolina's full schedule: all 8,625 codes, every published period, and commercial payer rates for 96372.
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