PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of October 2026

Vermont Medicaid rate for CPT 20610

Vermont Medicaid pays $56.48 for CPT 20610 in its October 2026 fee-for-service schedule: the 17th-highest of 44 state Medicaid programs, at 103% of the $54.825 median.

Non-facility rate
$56.48
Rank
17 of 44
vs. state median
103%
vs. VT Medicare
85%

What Vermont Medicaid publishes for 20610

17th-highest of 44 · 103% of median

17th-highest of 44 · 103% of median

Schedule
October 2026
In effect since
Jan 1, 2026
Prior authorization
Not required

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. Vermont Medicaid Fee Schedule Lookup

20610 in neighboring states

Each state's comparable non-facility rate for 20610 in its current schedule.

StateRatevs. Vermont
Massachusetts$49.06-13%
New Hampshire$24.08-57%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in Vermont is $66.27; Vermont Medicaid's rate is 85% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See Vermont's full schedule: all 11,875 codes, every published period, and commercial payer rates for 20610.

Book a 15-min Medicaid walkthrough

Other Vermont Medicaid rates