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$29/mo7-day free trialThese 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 and state network lists
- Email alerts when a state changes its rates
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West 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 | 6,927 | Jan 2026 | 70.9% | $65.15 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 2,108 | Jan 2026 | 90% | $21.96 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,528 | Jan 2026 | 78.5% | $76.02 Continuous positive airway pressure (cpap) device (E0601) | -- |
| Vision | 66 | Jan 2026 | 66.4% | $100.53 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 28 | Jan 2026 | 69.8% | $116.39 Psychotherapy, 60 minutes (90837) | -- |
| Anesthesia | 286 | 2026 | -- | -- | -- |
| Transport | 16 | Jan 2026 | -- | $266.22 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | -- |
| State-Specific Services | 299 | Jan 2026 | 63.5% | -- | -- |
| Dental | West Virginia's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
West Virginia also publishes 2 drugs codes (Jan 2026), 4 hearing codes (2026), 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 West Virginia publishes its fee schedules
- Publisher
- West Virginia Bureau for Medical Services (BMS)
- Program
- West Virginia Medicaid
- Official source
- https://bms.wv.gov/page/west-virginia-medicaid-physicians-fee-schedules/
- Last checked
- Sep 5, 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 West Virginia schedules, every category and every code, export as CSV on the Rates plan.
Compare West Virginia nationally
Frequently asked questions
Does West Virginia publish a Medicaid fee schedule?
Yes. West Virginia publishes 11,258 Medicaid fee-for-service procedure rates across 8 service categories, effective through Jan 2026, all collected and normalized here with plain-language procedure names. West Virginia Bureau for Medical Services (BMS) publishes West Virginia's Medicaid fee schedules.
Who publishes West Virginia's Medicaid fee schedule?
West Virginia Bureau for Medical Services (BMS) publishes West Virginia's Medicaid fee schedules. The state's own fee-schedule page is https://bms.wv.gov/page/west-virginia-medicaid-physicians-fee-schedules/. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Sep 5, 2026).
What does West Virginia Medicaid pay for common services?
An established-patient office visit (99213) pays $65.15, a two-view chest X-ray (71046) $21.96 and a CPAP device (E0601) $76.02. 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 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 41 of 49 jurisdictions with a comparable basis.
What service categories does West Virginia publish?
Physician (6,927 codes), Lab & Imaging (2,108 codes), DME & Supplies (1,528 codes), Vision (66 codes), Behavioral Health (28 codes), Anesthesia (286 codes), Transport (16 codes), State-Specific Services (299 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, the newest effective Jan 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.