West Virginia Medicaid rate for CPT 99203
West Virginia Medicaid pays $81.25 for CPT 99203 in its April 2026 fee-for-service schedule: the 17th-lowest of 45 state Medicaid programs, at 91% of the $89.35 median.
- Non-facility rate
- $81.25
- Rank
- 29 of 45
- vs. state median
- 91%
- vs. WV Medicare
- 72%
What West Virginia Medicaid publishes for 99203
17th-lowest of 45 · 91% 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
99203 in neighboring states
Each state's comparable non-facility rate for 99203 in its current schedule.
| State | Rate | vs. West Virginia |
|---|---|---|
| Kentucky | $79.04 | -3% |
| Maryland | $116.38 | +43% |
| Ohio | $61.22 | -25% |
| Pennsylvania | $54.25 | -33% |
| Virginia | $84.76 | +4% |
99203 in every state
Map and ranking of every state program that prices 99203.
Compare 99203 across states99203 under Medicare
Medicare's 2026 non-facility payment for 99203 in West Virginia is $112.17; West Virginia Medicaid's rate is 72% of that. The national amount before geographic adjustment is $117.571.
See 99203 Medicare ratesSee West Virginia's full schedule: all 7,002 codes, every published period, and commercial payer rates for 99203.
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