Virginia Medicaid rate for CPT 20610
Virginia Medicaid pays $59.61 for CPT 20610 in its October 2026 fee-for-service schedule: the 14th-highest of 44 state Medicaid programs, at 109% of the $54.825 median.
- Non-facility rate
- $59.61
- Rank
- 14 of 44
- vs. state median
- 109%
- vs. VA Medicare
- 77-89%
What Virginia Medicaid publishes for 20610
14th-highest of 44 · 109% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2026
- Prior authorization
- Not required
1 rate type
- Under 21 and 1 more
- Facility $34.43
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. DMAS Procedure Fee Files
20610 in neighboring states
Each state's comparable non-facility rate for 20610 in its current schedule.
| State | Rate | vs. Virginia |
|---|---|---|
| Kentucky | $50.81 | -15% |
| Maryland | $66.20 | +11% |
| North Carolina | $55.10 | -8% |
| West Virginia | $47.58 | -20% |
20610 in every state
Map and ranking of every state program that prices 20610.
Compare 20610 across states20610 under Medicare
Medicare's 2026 non-facility payment for 20610 in Virginia is $66.87 to $77.58 across its 2 payment localities; Virginia Medicaid's rate is 77-89% of that. The national amount before geographic adjustment is $68.806.
See 20610 Medicare ratesSee Virginia's full schedule: all 8,748 codes, every published period, and commercial payer rates for 20610.
Book a 15-min Medicaid walkthrough