West Virginia Medicaid rate for CPT 99213
West Virginia Medicaid pays $65.15 for CPT 99213 in its April 2026 fee-for-service schedule: the 18th-lowest of 45 state Medicaid programs, at 92% of the $71.05 median.
- Non-facility rate
- $65.15
- Rank
- 28 of 45
- vs. state median
- 92%
- vs. WV Medicare
- 72%
What West Virginia Medicaid publishes for 99213
18th-lowest of 45 · 92% of median
- Schedule
- April 2026
- In effect since
- Apr 1, 2026
1 rate type
- RBRVS Annual · Status A (TH)
- $86.48
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
99213 in neighboring states
Each state's comparable non-facility rate for 99213 in its current schedule.
| State | Rate | vs. West Virginia |
|---|---|---|
| Kentucky | $42.63 | -35% |
| Maryland | $94.62 | +45% |
| Ohio | $46.23 | -29% |
| Pennsylvania | $35.00 | -46% |
| Virginia | $68.63 | +5% |
99213 in every state
Map and ranking of every state program that prices 99213.
Compare 99213 across states99213 under Medicare
Medicare's 2026 non-facility payment for 99213 in West Virginia is $90.10; West Virginia Medicaid's rate is 72% of that. The national amount before geographic adjustment is $95.193.
See 99213 Medicare ratesSee West Virginia's full schedule: all 7,002 codes, every published period, and commercial payer rates for 99213.
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