Texas Medicaid rate for CPT 45378
Texas Medicaid pays a median of $310.15 across its rate types for CPT 45378 in its September 2026 fee-for-service schedule: the 16th-highest of 44 state Medicaid programs, at 104% of the $299.605 median.
- Non-facility rate
- $310.15
- Rank
- 16 of 44
- vs. state median
- 104%
- vs. TX Medicare
- 158-175%
What Texas Medicaid publishes for 45378
16th-highest of 44 · 104% of median
- Schedule
- September 2026
- In effect since
- Sep 1, 2026
$302.59 to $317.72 across 2 rate types
- Surgery · Under 21
- $317.72
- Surgery · Ages 21+
- $302.59
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. TMHP Static Fee Schedules
45378 in neighboring states
Each state's comparable non-facility rate for 45378 in its current schedule.
| State | Rate | vs. Texas |
|---|---|---|
| Arkansas | $257.37 | -17% |
| Louisiana | $279.57 | -10% |
| New Mexico | $474.63 | +53% |
| Oklahoma | $325.29 | +5% |
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 Texas is $177.25 to $196.19 across its 8 payment localities; Texas Medicaid's rate is 158-175% of that. The national amount before geographic adjustment is $378.098.
See 45378 Medicare ratesSee Texas's full schedule: all 8,435 codes, every published period, and commercial payer rates for 45378.
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