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Fee-for-service rateAs of April 2026

West Virginia Medicaid rate for CPT 20610

West Virginia Medicaid pays $47.58 for CPT 20610 in its April 2026 fee-for-service schedule: the 12th-lowest of 44 state Medicaid programs, at 87% of the $54.825 median.

Non-facility rate
$47.58
Rank
33 of 44
vs. state median
87%
vs. WV Medicare
73%

What West Virginia Medicaid publishes for 20610

12th-lowest of 44 · 87% of median

12th-lowest of 44 · 87% of median

Schedule
April 2026
In effect since
Apr 1, 2026

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. BMS Physician RBRVS Fee Schedules

20610 in neighboring states

Each state's comparable non-facility rate for 20610 in its current schedule.

StateRatevs. West Virginia
Kentucky$50.81+7%
Maryland$66.20+39%
Ohio$51.36+8%
Pennsylvania$23.50-51%
Virginia$59.61+25%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in West Virginia is $65.60; West Virginia Medicaid's rate is 73% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See West Virginia's full schedule: all 7,002 codes, every published period, and commercial payer rates for 20610.

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Other West Virginia Medicaid rates