Virginia Medicaid rate for CPT 96372
Virginia Medicaid pays $13.31 for CPT 96372 in its October 2026 fee-for-service schedule: the 19th-highest of 42 state Medicaid programs, at 104% of the $12.79 median.
- Non-facility rate
- $13.31
- Rank
- 19 of 42
- vs. state median
- 104%
- vs. VA Medicare
- 77-88%
What Virginia Medicaid publishes for 96372
19th-highest of 42 · 104% of median
- Schedule
- October 2026
- In effect since
- Jul 1, 2026
- Prior authorization
- Not published
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
96372 in neighboring states
Each state's comparable non-facility rate for 96372 in its current schedule.
| State | Rate | vs. Virginia |
|---|---|---|
| Kentucky | $18.10 | +36% |
| Maryland | $15.75 | +18% |
| North Carolina | $16.53 | +24% |
| West Virginia | $10.25 | -23% |
96372 in every state
Map and ranking of every state program that prices 96372.
Compare 96372 across states96372 under Medicare
Medicare's 2026 non-facility payment for 96372 in Virginia is $15.11 to $17.37 across its 2 payment localities; Virginia Medicaid's rate is 77-88% of that. The national amount before geographic adjustment is $15.364.
See 96372 Medicare ratesSee Virginia's full schedule: all 8,748 codes, every published period, and commercial payer rates for 96372.
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