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Fee-for-service rateAs of October 2026

Vermont Medicaid rate for CPT 96372

Vermont Medicaid pays $12.88 for CPT 96372 in its October 2026 fee-for-service schedule: the 21st-highest of 42 state Medicaid programs, at 101% of the $12.79 median.

Non-facility rate
$12.88
Rank
21 of 42
vs. state median
101%
vs. VT Medicare
85%

What Vermont Medicaid publishes for 96372

21st-highest of 42 · 101% of median

21st-highest of 42 · 101% 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

96372 in neighboring states

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

StateRatevs. Vermont
Massachusetts$10.79-16%
New Hampshire$13.99+9%
New York$13.36+4%

96372 under Medicare

Medicare's 2026 non-facility payment for 96372 in Vermont is $15.11; Vermont Medicaid's rate is 85% of that. The national amount before geographic adjustment is $15.364.

See 96372 Medicare rates

See Vermont's full schedule: all 11,875 codes, every published period, and commercial payer rates for 96372.

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Other Vermont Medicaid rates