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Fee-for-service rateAs of October 2026

Vermont Medicaid rate for CPT 93000

Vermont Medicaid pays $12.74 for CPT 93000 in its October 2026 fee-for-service schedule: the 16th-lowest of 45 state Medicaid programs, at 88% of the $14.55 median.

Non-facility rate
$12.74
Rank
30 of 45
vs. state median
88%
vs. VT Medicare
85%

What Vermont Medicaid publishes for 93000

16th-lowest of 45 · 88% of median

16th-lowest of 45 · 88% 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

93000 in neighboring states

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

StateRatevs. Vermont
Massachusetts$10.99-14%
New Hampshire$16.88+32%

93000 under Medicare

Medicare's 2026 non-facility payment for 93000 in Vermont is $14.94; Vermont Medicaid's rate is 85% of that. The national amount before geographic adjustment is $15.364.

See 93000 Medicare rates

See Vermont's full schedule: all 11,875 codes, every published period, and commercial payer rates for 93000.

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Other Vermont Medicaid rates