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Fee-for-service rateAs of April 2026

West Virginia Medicaid rate for CPT 99284

West Virginia Medicaid pays $87.35 for CPT 99284 in its April 2026 fee-for-service schedule: the 16th-lowest of 42 state Medicaid programs, at 92% of the $95.28 median.

Non-facility rate
$87.35
Rank
27 of 42
vs. state median
92%
vs. WV Medicare
72%

What West Virginia Medicaid publishes for 99284

16th-lowest of 42 · 92% of median

16th-lowest of 42 · 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

99284 in neighboring states

Each state's comparable non-facility rate for 99284 in its current schedule.

StateRatevs. West Virginia
Kentucky$74.05-15%
Ohio$62.91-28%
Pennsylvania$95.33+9%
Virginia$82.68-5%

99284 under Medicare

Medicare's 2026 non-facility payment for 99284 in West Virginia is $121.31; West Virginia Medicaid's rate is 72% of that. The national amount before geographic adjustment is $118.239.

See 99284 Medicare rates

See West Virginia's full schedule: all 7,002 codes, every published period, and commercial payer rates for 99284.

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Other West Virginia Medicaid rates