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Fee-for-service rateAs of September 2026

Texas Medicaid rate for CPT 96372

Texas Medicaid pays a median of $11.78 across its rate types for CPT 96372 in its September 2026 fee-for-service schedule: the 12th-lowest of 42 state Medicaid programs, at 92% of the $12.79 median.

Non-facility rate
$11.78
Rank
31 of 42
vs. state median
92%
vs. TX Medicare
74-81%

What Texas Medicaid publishes for 96372

12th-lowest of 42 · 92% of median

12th-lowest of 42 · 92% of median

Schedule
September 2026
In effect since
Mar 1, 2026
$11.49 to $12.07 across 2 rate types
Medical Services · Under 21
$12.07
Medical Services · Ages 21+
$11.49

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

96372 in neighboring states

Each state's comparable non-facility rate for 96372 in its current schedule.

StateRatevs. Texas
New Mexico$20.07+70%
Oklahoma$13.38+14%

96372 under Medicare

Medicare's 2026 non-facility payment for 96372 in Texas is $14.50 to $15.88 across its 8 payment localities; Texas Medicaid's rate is 74-81% of that. The national amount before geographic adjustment is $15.364.

See 96372 Medicare rates

See Texas's full schedule: all 8,435 codes, every published period, and commercial payer rates for 96372.

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Other Texas Medicaid rates