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Fee-for-service rateAs of April 2026

West Virginia Medicaid rate for CPT 96372

West Virginia Medicaid pays $10.25 for CPT 96372 in its April 2026 fee-for-service schedule: the 8th-lowest of 42 state Medicaid programs, at 80% of the $12.79 median.

Non-facility rate
$10.25
Rank
35 of 42
vs. state median
80%
vs. WV Medicare
72%

What West Virginia Medicaid publishes for 96372

8th-lowest of 42 · 80% of median

8th-lowest of 42 · 80% 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

96372 in neighboring states

Each state's comparable non-facility rate for 96372 in its current schedule.

StateRatevs. West Virginia
Kentucky$18.10+77%
Maryland$15.75+54%
Ohio$13.54+32%
Pennsylvania$12.70+24%
Virginia$13.31+30%

96372 under Medicare

Medicare's 2026 non-facility payment for 96372 in West Virginia is $14.28; West Virginia Medicaid's rate is 72% of that. The national amount before geographic adjustment is $15.364.

See 96372 Medicare rates

See West Virginia's full schedule: all 7,002 codes, every published period, and commercial payer rates for 96372.

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Other West Virginia Medicaid rates