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Fee-for-service rateAs of October 2026

Virginia Medicaid rate for CPT 90837

Virginia Medicaid pays $170.73 for CPT 90837 in its October 2026 fee-for-service schedule: the 5th-highest of 37 state Medicaid programs, at 129% of the $132.06 median.

Non-facility rate
$170.73
Rank
5 of 37
vs. state median
129%
vs. VA Medicare
94-103%

What Virginia Medicaid publishes for 90837

5th-highest of 37 · 129% of median

5th-highest of 37 · 129% 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 $138.29

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

90837 in neighboring states

Each state's comparable non-facility rate for 90837 in its current schedule.

StateRatevs. Virginia
Kentucky$94.13-45%
Maryland$132.66-22%
North Carolina$96.44-44%
West Virginia$116.39-32%

90837 under Medicare

Medicare's 2026 non-facility payment for 90837 in Virginia is $166.13 to $181.03 across its 2 payment localities; Virginia Medicaid's rate is 94-103% of that. The national amount before geographic adjustment is $167.005.

See 90837 Medicare rates

See Virginia's full schedule: all 8,748 codes, every published period, and commercial payer rates for 90837.

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Other Virginia Medicaid rates