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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Virginia schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Virginia's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,706 | Jul 2026 | 86.6% | $68.66 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 2,192 | Jul 2026 | 86.6% | $28.65 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,933 | Jul 2026 | 88.3% | $1.67 Continuous positive airway pressure (cpap) device (E0601) | -- |
| Drugs | 882 | Jul 2026 | -- | -- | -- |
| Vision | 121 | Jul 2026 | 86.6% | $129.63 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 62 | Jul 2026 | 102.2% | $170.73 Psychotherapy, 60 minutes (90837) | -- |
| State-Specific Services | 327 | Jul 2026 | 59.8% | $26.15 Telehealth originating site facility fee (Q3014) | -- |
| Dental | Virginia's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
Virginia also publishes 1 anesthesia code (Jul 2021), 28 hearing codes (Jan 2011), 18 transport codes (Apr 2018), too few or too old to summarize here.
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.
Where Virginia publishes its fee schedules
- Publisher
- Virginia Department of Medical Assistance Services (DMAS)
- Program
- Cardinal Care
- Official source
- https://www.dmas.virginia.gov/for-providers/rates-and-rate-setting/procedure-fee-files-cpt-codes/
- Last checked
- Aug 21, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Virginia schedules, every category and every code, export as CSV on the Rates plan.
Compare Virginia nationally
Frequently asked questions
Does Virginia publish a Medicaid fee schedule?
Yes. Virginia publishes 12,223 Medicaid fee-for-service procedure rates across 7 service categories, effective through Jul 2026, all collected and normalized here with plain-language procedure names. Virginia Department of Medical Assistance Services (DMAS) publishes Virginia's Medicaid fee schedules for Cardinal Care.
Who publishes Virginia's Medicaid fee schedule?
Virginia Department of Medical Assistance Services (DMAS) publishes Virginia's Medicaid fee schedules for Cardinal Care. The state's own fee-schedule page is https://www.dmas.virginia.gov/for-providers/rates-and-rate-setting/procedure-fee-files-cpt-codes/. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does Virginia Medicaid pay for common services?
An established-patient office visit (99213) pays $68.66, a two-view chest X-ray (71046) $28.65 and a CPAP device (E0601) $1.67. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Virginia's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Virginia's published rates run a median 86.6% of the Medicare amount, ranking 17 of 49 jurisdictions with a comparable basis.
What service categories does Virginia publish?
Physician (6,706 codes), Lab & Imaging (2,192 codes), DME & Supplies (1,933 codes), Drugs (882 codes), Vision (121 codes), Behavioral Health (62 codes), State-Specific Services (327 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Virginia's currently published fee schedules, the newest effective Jul 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.