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Fee-for-service rateAs of October 2026

Virginia Medicaid rate for CPT 90834

Virginia Medicaid pays $116.44 for CPT 90834 in its October 2026 fee-for-service schedule: the 6th-highest of 37 state Medicaid programs, at 128% of the $90.95 median.

Non-facility rate
$116.44
Rank
6 of 37
vs. state median
128%
vs. VA Medicare
94-103%

What Virginia Medicaid publishes for 90834

6th-highest of 37 · 128% of median

6th-highest of 37 · 128% of median

Schedule
October 2026
In effect since
Jul 1, 2026
Prior authorization
Not required
1 rate type
Sab: Non-substance and 1 more
Facility $93.90

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

90834 in neighboring states

Each state's comparable non-facility rate for 90834 in its current schedule.

StateRatevs. Virginia
Kentucky$62.90-46%
Maryland$88.29-24%
North Carolina$65.81-43%
West Virginia$79.54-32%

90834 under Medicare

Medicare's 2026 non-facility payment for 90834 in Virginia is $113.23 to $123.52 across its 2 payment localities; Virginia Medicaid's rate is 94-103% of that. The national amount before geographic adjustment is $113.897.

See 90834 Medicare rates

See Virginia's full schedule: all 8,748 codes, every published period, and commercial payer rates for 90834.

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Other Virginia Medicaid rates