West Virginia Medicaid FFS is parsed from Physician RBRVS fee schedule, effective 2026-04-01 through 2027-03-31 (released 2025-12-29) (West Virginia Bureau for Medical Services). File effective 2026-04-01. Last verified 2026-09-10. Official source.
Last updated
Last verified 2026-09-10 · file effective 2026-04-01. 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 | $120.78 | $97.84 | 2026-04-01 | 90791 / West Virginia |
| CPT 90792 | $141.76 | $114.68 | 2026-04-01 | 90792 / West Virginia |
| CPT 90832 | $59.78 | $49.29 | 2026-04-01 | 90832 / West Virginia |
| CPT 90834 | $79.54 | $65.64 | 2026-04-01 | 90834 / West Virginia |
| CPT 90837 | $116.39 | $96.38 | 2026-04-01 | 90837 / West Virginia |
| CPT 90839 | $111.75 | $92.23 | 2026-04-01 | 90839 / West Virginia |
| CPT 90846 | $75.15 | $70.76 | 2026-04-01 | 90846 / West Virginia |
| CPT 90847 | $77.59 | $73.20 | 2026-04-01 | 90847 / West Virginia |
| CPT 90853 | $21.23 | $17.32 | 2026-04-01 | 90853 / West Virginia |
How West Virginia Medicaid compares with Medicare and UnitedHealthcare
In West Virginia, Medicaid fee-for-service pays $116.39 for CPT 90837, from the WV BMS RBRVS file effective 2026-04-01. Medicare pays $162.04 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 71.8% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $137.78, and the middle 80% of published UHC rates run from $105.12 to $162.37 (UHC price transparency file dated 2026-09-01).
Related official rates
- CPT 90837 Medicare and Medicaid FFS in West Virginia
- Compare a 90837 offer in West Virginia
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in West Virginia
- CPT 90834 Medicare and Medicaid FFS in West Virginia
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
Which psychotherapy codes have official West Virginia Medicaid FFS amounts?
West Virginia Medicaid FFS is parsed for CPT 90791 $120.78; CPT 90792 $141.76; CPT 90832 $59.78; CPT 90834 $79.54; CPT 90837 $116.39; CPT 90839 $111.75; CPT 90846 $75.15; CPT 90847 $77.59; CPT 90853 $21.23.
What is the West Virginia Medicaid FFS amount for CPT 90837?
$116.39 (facility $96.38) from WV BMS RBRVS, effective 2026-04-01, last verified 2026-09-10.
What official file is the West Virginia Medicaid FFS extract from?
West Virginia Bureau for Medical Services: Physician RBRVS fee schedule, effective 2026-04-01 through 2027-03-31 (released 2025-12-29). Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are West 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 West Virginia Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
West Virginia Medicaid fee-for-service pays $116.39 for CPT 90837, which is 71.8% of the lowest West Virginia Medicare non-facility amount ($162.04, CMS RVU26D). The UnitedHealthcare median is $137.78 (85% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.