West Virginia Medicaid rate for CPT 99285
West Virginia Medicaid pays $126.15 for CPT 99285 in its April 2026 fee-for-service schedule: the 13th-lowest of 42 state Medicaid programs, at 91% of the $138.69 median.
- Non-facility rate
- $126.15
- Rank
- 30 of 42
- vs. state median
- 91%
- vs. WV Medicare
- 72%
What West Virginia Medicaid publishes for 99285
13th-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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
| State | Rate | vs. West Virginia |
|---|---|---|
| Kentucky | $116.04 | -8% |
| Ohio | $94.23 | -25% |
| Pennsylvania | $138.74 | +10% |
| Virginia | $119.82 | -5% |
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in West Virginia is $175.41; West Virginia Medicaid's rate is 72% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee West Virginia's full schedule: all 7,002 codes, every published period, and commercial payer rates for 99285.
Book a 15-min Medicaid walkthrough