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Billing code Q0237 · Home health

Q0237 Medicaid reimbursement rate by state (2026)

Injection, tocilizumab-anoh. Medicaid pays a median of $4.92 for Q0237 across 12 states, from $1.23 in Kansas to $20.07 in Utah.

Data as of Oct 5, 202612 statesEvery rate links to its official source

States publishing
12
National median
$4.92units vary by state
Lowest
$1.23Kansas
Highest
$20.07Utah
Answer

What does Medicaid pay for Q0237?

12 state Medicaid programs publish a fee-for-service rate for Q0237. The national median is $4.92 (units differ between states). Utah pays the most, $20.07, and Kansas the least, $1.23, a 16.3x spread.

State ranking

Q0237 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 12 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2026-04-01$20.07——Plans negotiate; applies out of network—
2Nebraska Source · since 2026-07-01$4.92——Plans negotiate; applies out of network—
3Ohio Source · since 2026-04-01$4.92——Plans negotiate; applies out of network—
6Nevada Source · since 2026-06-01$4.92——Plans must pay at least this—
7West Virginia Source · since 2026-04-01$4.921 MG—Plans negotiate; applies out of network—
8Montana Source · since 2026-04-01$4.92——Not classified—
11New Jersey Source · since 2026-01-01$4.27——Not classified—
12Kansas Source · since 2026-04-01$1.23——Not classified—
See all 12 states for Q0237 — start free

4 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track Q0237 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for Q0237?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $4.92. Utah pays the most ($20.07) and Kansas the least ($1.23).

Which state pays the highest Medicaid rate for Q0237?

Utah, at $20.07, effective 2026-04-01.

Do managed-care plans pay the same rate for Q0237?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.