PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of October 2026

Virginia Medicaid rate for CPT 93000

Virginia Medicaid pays $13.31 for CPT 93000 in its October 2026 fee-for-service schedule: the 18th-lowest of 45 state Medicaid programs, at 91% of the $14.55 median.

Non-facility rate
$13.31
Rank
28 of 45
vs. state median
91%
vs. VA Medicare
77-89%

What Virginia Medicaid publishes for 93000

18th-lowest of 45 · 91% of median

18th-lowest of 45 · 91% of median

Schedule
October 2026
In effect since
Jul 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. DMAS Procedure Fee Files

93000 in neighboring states

Each state's comparable non-facility rate for 93000 in its current schedule.

StateRatevs. Virginia
Kentucky$21.79+64%
Maryland$14.82+11%
North Carolina$16.34+23%
West Virginia$10.49-21%

93000 under Medicare

Medicare's 2026 non-facility payment for 93000 in Virginia is $15.01 to $17.35 across its 2 payment localities; Virginia Medicaid's rate is 77-89% of that. The national amount before geographic adjustment is $15.364.

See 93000 Medicare rates

See Virginia's full schedule: all 8,748 codes, every published period, and commercial payer rates for 93000.

Book a 15-min Medicaid walkthrough

Other Virginia Medicaid rates