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Fee-for-service rateAs of April 2026

West Virginia Medicaid rate for CPT 45378

West Virginia Medicaid pays $254.49 for CPT 45378 in its April 2026 fee-for-service schedule: the 13th-lowest of 44 state Medicaid programs, at 85% of the $299.605 median.

Non-facility rate
$254.49
Rank
32 of 44
vs. state median
85%
vs. WV Medicare
73%

What West Virginia Medicaid publishes for 45378

13th-lowest of 44 · 85% of median

13th-lowest of 44 · 85% 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

45378 in neighboring states

Each state's comparable non-facility rate for 45378 in its current schedule.

StateRatevs. West Virginia
Kentucky$324.55+28%
Maryland$298.64+17%
Ohio$178.57-30%
Pennsylvania$180.50-29%
Virginia$327.55+29%

45378 under Medicare

Medicare's 2026 non-facility payment for 45378 in West Virginia is $350.18; West Virginia Medicaid's rate is 73% of that. The national amount before geographic adjustment is $378.098.

See 45378 Medicare rates

See West Virginia's full schedule: all 7,002 codes, every published period, and commercial payer rates for 45378.

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Other West Virginia Medicaid rates