PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Fee-for-service rateAs of April 2026

West Virginia Medicaid rate for CPT 99214

West Virginia Medicaid pays $93.21 for CPT 99214 in its April 2026 fee-for-service schedule: the 17th-lowest of 45 state Medicaid programs, at 92% of the $101.32 median.

Non-facility rate
$93.21
Rank
29 of 45
vs. state median
92%
vs. WV Medicare
72%

What West Virginia Medicaid publishes for 99214

17th-lowest of 45 · 92% of median

17th-lowest of 45 · 92% 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

99214 in neighboring states

Each state's comparable non-facility rate for 99214 in its current schedule.

StateRatevs. West Virginia
Kentucky$67.10-28%
Maryland$133.26+43%
Ohio$70.11-25%
Pennsylvania$54.42-42%
Virginia$97.76+5%

99214 under Medicare

Medicare's 2026 non-facility payment for 99214 in West Virginia is $128.87; West Virginia Medicaid's rate is 72% of that. The national amount before geographic adjustment is $135.608.

See 99214 Medicare rates

See West Virginia's full schedule: all 7,002 codes, every published period, and commercial payer rates for 99214.

Book a 15-min Medicaid walkthrough

Other West Virginia Medicaid rates