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Fee-for-service rateAs of April 2026

West Virginia Medicaid rate for CPT 99283

West Virginia Medicaid pays $51.24 for CPT 99283 in its April 2026 fee-for-service schedule: the 14th-lowest of 42 state Medicaid programs, at 91% of the $56.245 median.

Non-facility rate
$51.24
Rank
29 of 42
vs. state median
91%
vs. WV Medicare
72%

What West Virginia Medicaid publishes for 99283

14th-lowest of 42 · 91% of median

14th-lowest of 42 · 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

99283 in neighboring states

Each state's comparable non-facility rate for 99283 in its current schedule.

StateRatevs. West Virginia
Kentucky$47.40-7%
Ohio$37.68-26%
Pennsylvania$56.65+11%
Virginia$48.58-5%

99283 under Medicare

Medicare's 2026 non-facility payment for 99283 in West Virginia is $71.13; West Virginia Medicaid's rate is 72% of that. The national amount before geographic adjustment is $69.474.

See 99283 Medicare rates

See West Virginia's full schedule: all 7,002 codes, every published period, and commercial payer rates for 99283.

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Other West Virginia Medicaid rates