Virginia Medicaid Fee Schedule

Virginia publishes 12,270 Medicaid fee-for-service rates across 10 service categories. Pooled across categories with a national Medicare comparator, Virginia's published rates run a median 86.6% of the Medicare amount, ranking 19 of 49 jurisdictions with a comparable basis.

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These 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
  • Full state Medicaid dental network lists
  • Email alerts when a state changes its rates
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Virginia's published schedules by category

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.

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Frequently asked questions

Does Virginia publish a Medicaid fee schedule?

Yes. Virginia publishes 12,270 Medicaid fee-for-service procedure rates across 10 service categories, all collected and normalized here with plain-language procedure names.

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 19 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), Other Services (327 codes), Vision (121 codes), Behavioral Health (62 codes), Hearing (28 codes), Transport (18 codes), Anesthesia (1 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 and are re-collected on a rolling monthly cadence, so most schedules here are effective 2026. This page updates automatically after each collection sweep.