Virginia Medicaid FFS is parsed from DMAS Procedure Fee File CPT Part 4 (codes 80002–99607), current rows (rate end 12/31/9999) (Virginia Department of Medical Assistance Services). File effective 2026-07-01. Last verified 2026-09-10. Official source.
Last updated
Last verified 2026-09-10 · file effective 2026-07-01. Psychiatric add-ons, age-band variants, and extra procedure types are cited on each rate page, not blended. See Methodology and Data Sources.
| CPT | Medicaid FFS | Facility | Effective | Compare Medicare |
|---|---|---|---|---|
| CPT 90791 | $177.22 | $140.34 | 2026-07-01 | 90791 / Virginia |
| CPT 90792 | $206.58 | $162.88 | 2026-07-01 | 90792 / Virginia |
| CPT 90832 | $87.75 | $71.02 | 2026-07-01 | 90832 / Virginia |
| CPT 90834 | $116.44 | $93.90 | 2026-07-01 | 90834 / Virginia |
| CPT 90837 | $170.73 | $138.29 | 2026-07-01 | 90837 / Virginia |
| CPT 90839 | $178.49 | $139.96 | 2024-01-01 | 90839 / Virginia |
| CPT 90846 | $108.24 | $101.41 | 2026-07-01 | 90846 / Virginia |
| CPT 90847 | $112.00 | $105.17 | 2026-07-01 | 90847 / Virginia |
| CPT 90853 | $31.07 | $24.93 | 2026-07-01 | 90853 / Virginia |
How Virginia Medicaid compares with Medicare and UnitedHealthcare
In Virginia, Medicaid fee-for-service pays $170.73 for CPT 90837, from the DMAS Procedure Fee file effective 2026-07-01. Medicare pays $166.13 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 102.8% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $132.95, and the middle 80% of published UHC rates run from $91.97 to $202.44 (UHC price transparency file dated 2026-09-01).
Related official rates
- CPT 90837 Medicare and Medicaid FFS in Virginia
- Compare a 90837 offer in Virginia
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in Virginia
- CPT 90834 Medicare and Medicaid FFS in Virginia
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
Which psychotherapy codes have official Virginia Medicaid FFS amounts?
Virginia Medicaid FFS is parsed for CPT 90791 $177.22; CPT 90792 $206.58; CPT 90832 $87.75; CPT 90834 $116.44; CPT 90837 $170.73; CPT 90839 $178.49; CPT 90846 $108.24; CPT 90847 $112.00; CPT 90853 $31.07.
What is the Virginia Medicaid FFS amount for CPT 90837?
$170.73 (facility $138.29) from DMAS Procedure Fee, effective 2026-07-01, last verified 2026-09-10.
What official file is the Virginia Medicaid FFS extract from?
Virginia Department of Medical Assistance Services: DMAS Procedure Fee File CPT Part 4 (codes 80002–99607), current rows (rate end 12/31/9999). Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are Virginia Medicaid MCO or commercial rates in these tables?
This hub lists official Medicaid fee-for-service cells. Commercial price transparency percentiles and Medicaid MCO rates stay Coming soon.
How does Virginia Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
Virginia Medicaid fee-for-service pays $170.73 for CPT 90837, which is 102.8% of the lowest Virginia Medicare non-facility amount ($166.13, CMS RVU26D). The UnitedHealthcare median is $132.95 (80% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.