West Virginia Medicaid Fee Schedule

West Virginia publishes 11,218 Medicaid fee-for-service rates across 10 service categories. Pooled across categories with a national Medicare comparator, West Virginia's published rates run a median 71.7% of the Medicare amount, ranking 40 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes West 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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West 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 West Virginia publish a Medicaid fee schedule?

Yes. West Virginia publishes 11,218 Medicaid fee-for-service procedure rates across 10 service categories, all collected and normalized here with plain-language procedure names.

How do West Virginia's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, West Virginia's published rates run a median 71.7% of the Medicare amount, ranking 40 of 49 jurisdictions with a comparable basis.

What service categories does West Virginia publish?

Physician (6,891 codes), Lab & Imaging (2,101 codes), DME & Supplies (1,528 codes), Other Services (299 codes), Anesthesia (286 codes), Vision (66 codes), Behavioral Health (25 codes), Transport (16 codes), Hearing (4 codes), Drugs (2 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from West 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.