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Q0489 Medicaid reimbursement rates by state

Power pack base for use with electric/pneumatic ventricular.... 16 state Medicaid programs publish a fee-for-service rate for Q0489 at the physician psychologist level. Rates run from $4,979.29 in Kansas to $22,751.25 in Arizona, with a median of $16,642.27.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
16
Median rate
$16,642.27units vary by state
Highest
$22,751.25Arizona
Medicare (non-facility)
—not on the physician fee schedule

Q0489 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$22,751.25since 2021-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$20,015.46since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$19,623.00since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$19,535.67since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$19,535.67since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$19,152.62since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$18,247.88since 2026-01-01——Not classified—South Dakota Medicaid DME fee schedule (
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$16,878.82since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$16,405.71since 2022-06-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$16,375.49since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$15,322.09since 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$15,022.92since 2026-01-01——Plans negotiate; applies out of network—Durable Medical Equipment Services Fee S
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$14,064.31since 2016-01-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$13,487.73since 2019-07-24——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-07-
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$12,589.04since 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$4,979.29since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for Q0489?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $16,642.27. Arizona pays the most ($22,751.25) and Kansas the least ($4,979.29).

Which state pays the highest Medicaid rate for Q0489?

Arizona, at $22,751.25, effective 2021-10-01.

Do managed-care plans pay the same rate for Q0489?

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 table shows the rule for each state, cited to the contract or statute.

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