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Q0500 Medicaid reimbursement rates by state

Filters for use with electric or electric/pneumatic.... 14 state Medicaid programs publish a fee-for-service rate for Q0500 at the clinical nurse specialist level. Rates run from $9.35 in Kansas to $39.43 in Arizona, with a median of $33.86.

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

States publishing
14
Median rate
$33.86units vary by state
Highest
$39.43Arizona
Medicare (non-facility)
—not on the physician fee schedule

Q0500 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)$39.43since 2026-10-01——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)$37.58since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$37.00since 2026-01-01——Plans negotiate; applies out of network—Durable Medical Equipment Services Fee S
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$36.84since 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$36.71since 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)$36.71since 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$35.99since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$31.72since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$30.77since 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)$28.79since 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$26.42since 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)$25.34since 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)$23.65since 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$9.35since 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 Q0500?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $33.86. Arizona pays the most ($39.43) and Kansas the least ($9.35).

Which state pays the highest Medicaid rate for Q0500?

Arizona, at $39.43, effective 2026-10-01.

Do managed-care plans pay the same rate for Q0500?

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.

Related Equipment & supplies codes

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