Every state, kept current
The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full West Virginia lab & imaging schedule has 2,108 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
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Published codes
2,108
Lab & Imaging procedures on the 2026 schedule
Median % of Medicare
90%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common lab & imaging procedures and what West Virginia Medicaid pays
A curated sample of recognizable procedures from the 2,108-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | West Virginia rate | % of Medicare |
|---|---|---|---|
| 70100 | Jaw (mandible) X-ray, up to 3 views | $26.60 | 65.8% |
| 70110 | Jaw (mandible) X-ray, 4 or more views | $28.55 | 66.3% |
| 70140 | Facial bone X-ray, under 3 views | $20.98 | 66.1% |
| 70150 | Facial bone X-ray, complete, 3 or more views | $30.74 | 65.7% |
| 70160 | Nasal bone X-ray | $24.64 | 65.9% |
| 70200 | Eye socket X-ray, complete, 4 or more views | $30.50 | 65.2% |
| 70210 | Sinus X-ray, up to 2 views | $21.47 | 66.3% |
| 70220 | Sinus X-ray, 3 or more views | $24.89 | 66% |
| 70250 | Skull X-ray, up to 3 views | $23.67 | 66.2% |
| 70328 | Jaw joint (TMJ) X-ray, one side | $22.45 | 65.9% |
| 70330 | Jaw joint (TMJ) X-ray, both sides | $34.89 | 65.3% |
| 70360 | Neck soft tissue X-ray | $20.50 | 66% |
| 70450 | CT scan of the head without contrast | $70.76 | 66.4% |
| 70480 | CT scan of the eye socket or inner ear without contrast | $105.16 | 66.4% |
| 70486 | CT scan of the face and sinuses without contrast | $84.42 | 65.8% |
| 70491 | CT scan of neck soft tissue with contrast | $121.27 | 66.1% |
| 70551 | MRI of the brain without contrast | $129.32 | 66.2% |
| 70553 | MRI of the brain without then with contrast | $209.60 | 66.1% |
| 71045 | Chest X-ray, 1 view | $17.08 | 67.3% |
| 71046 | Chest X-ray, 2 views | $21.96 | 66.4% |
| 71047 | Chest X-ray, 3 views | $27.08 | 65.9% |
| 71048 | Chest X-ray, 4 or more views | $29.77 | 66% |
| 71100 | Rib X-ray, one side | $23.91 | 66.3% |
| 71101 | Rib X-ray, one side, with chest view | $27.33 | 65.5% |
| 71110 | Rib X-ray, both sides, 3 views | $28.06 | 65.6% |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More West Virginia Medicaid fee schedules
- West Virginia Medicaid fee schedule 2026, all categories
- West Virginia physician fee schedule · 6,927 codes
- West Virginia dme & supplies fee schedule · 1,528 codes
- West Virginia state-specific services fee schedule · 299 codes
- West Virginia anesthesia fee schedule · 286 codes
- West Virginia vision fee schedule · 66 codes
- West Virginia behavioral health fee schedule · 28 codes
Lab & Imaging rates in neighboring states
Frequently asked questions
What does West Virginia Medicaid pay for laboratory tests and imaging?
West Virginia Medicaid publishes 2,108 lab & imaging procedure rates effective 2026, paying a median 90% of the national Medicare amount for the same services. The schedule covers blood panels, urinalysis, X-rays, CT, MRI, and ultrasound. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do West Virginia's lab & imaging rates compare with Medicare?
Across lab & imaging codes with a national Medicare comparator, West Virginia Medicaid pays a median 90% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do lab & imaging services need prior authorization in West Virginia?
West Virginia does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from West Virginia's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.