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Q0499 Medicaid reimbursement rate by state (2026)

Belt/vest/bag for use to carry external peripheral.... Medicaid pays a median of $180.32 for Q0499 across 16 states, from $51.12 in Kansas to $215.43 in Arizona.

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

States publishing
16
National median
$180.32units vary by state
Lowest
$51.12Kansas
Highest
$215.43Arizona

What does Medicaid pay for Q0499?

16 state Medicaid programs publish a fee-for-service rate for Q0499 at the clinical nurse specialist level. The national median is $180.32 (units differ between states). Arizona pays the most, $215.43, and Kansas the least, $51.12, a 4.2x spread.

Q0499 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 16 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2026-10-01$215.43——Plans negotiate; applies out of network—
2Minnesota Source · since 2026-01-01$205.51——Plans negotiate; applies out of network—
3Indiana Source · since 2026-01-01$201.48unit—Plans must pay at least this—
8South Dakota Source · since 2026-01-01$187.34——Not classified—
9Idaho Source · since 2026-07-01$173.30——Not classified—
10Vermont Source · since 2026-01-01$168.14——Not classified—
15Rhode Island Source · since 2012-07-01$129.25——Plans negotiate; applies out of network—
16Kansas Source · since 2026-07-01$51.12——Not classified—
See all 16 states for Q0499 — start free

8 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.

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 Q0499 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for Q0499?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $180.32. Arizona pays the most ($215.43) and Kansas the least ($51.12).

Which state pays the highest Medicaid rate for Q0499?

Arizona, at $215.43, effective 2026-10-01.

Do managed-care plans pay the same rate for Q0499?

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.