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Fee-for-service rateAs of April 2026

West Virginia Medicaid rate for CPT 93000

West Virginia Medicaid pays $10.49 for CPT 93000 in its April 2026 fee-for-service schedule: the 4th-lowest of 45 state Medicaid programs, at 72% of the $14.55 median.

Non-facility rate
$10.49
Rank
42 of 45
vs. state median
72%
vs. WV Medicare
72%

What West Virginia Medicaid publishes for 93000

4th-lowest of 45 · 72% of median

4th-lowest of 45 · 72% 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

93000 in neighboring states

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

StateRatevs. West Virginia
Kentucky$21.79+108%
Maryland$14.82+41%
Ohio$13.90+33%
Pennsylvania$19.22+83%
Virginia$13.31+27%

93000 under Medicare

Medicare's 2026 non-facility payment for 93000 in West Virginia is $14.47; West Virginia Medicaid's rate is 72% of that. The national amount before geographic adjustment is $15.364.

See 93000 Medicare rates

See West Virginia's full schedule: all 7,002 codes, every published period, and commercial payer rates for 93000.

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Other West Virginia Medicaid rates