Virginia Medicaid rate for CPT 45378
Virginia Medicaid pays $327.55 for CPT 45378 in its October 2026 fee-for-service schedule: the 11th-highest of 44 state Medicaid programs, at 109% of the $299.605 median.
- Non-facility rate
- $327.55
- Rank
- 11 of 44
- vs. state median
- 109%
- vs. VA Medicare
- 152-177%
What Virginia Medicaid publishes for 45378
11th-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 $142.65
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
45378 in neighboring states
Each state's comparable non-facility rate for 45378 in its current schedule.
| State | Rate | vs. Virginia |
|---|---|---|
| Kentucky | $324.55 | -1% |
| Maryland | $298.64 | -9% |
| North Carolina | $291.93 | -11% |
| West Virginia | $254.49 | -22% |
45378 in every state
Map and ranking of every state program that prices 45378.
Compare 45378 across states45378 under Medicare
Medicare's 2026 non-facility payment for 45378 in Virginia is $185.12 to $216.05 across its 2 payment localities; Virginia Medicaid's rate is 152-177% of that. The national amount before geographic adjustment is $378.098.
See 45378 Medicare ratesSee Virginia's full schedule: all 8,748 codes, every published period, and commercial payer rates for 45378.
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