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Billing code Q4115 · Equipment & supplies

Q4115 Medicaid reimbursement rate by state (2026)

Alloskin, per square centimeter (add-on. Medicaid pays a median of $17.74 for Q4115 across 20 states, from $3.22 in Kansas to $127.28 in Oregon.

Data as of Oct 5, 202620 statesEvery rate links to its official source

States publishing
20
National median
$17.74units vary by state
Lowest
$3.22Kansas
Highest
$127.28Oregon
Answer

What does Medicaid pay for Q4115?

20 state Medicaid programs publish a fee-for-service rate for Q4115. The national median is $17.74 (units differ between states). Oregon pays the most, $127.28, and Kansas the least, $3.22, a 39.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $109.70–$149.91 depending on the state's Medicare locality.

State ranking

Q4115 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 20 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Oregon Source · since 2026-01-01$127.28——Plans negotiate; applies out of network—
2South Dakota Source · since 2026-01-01$127.26——Not classified—
3Texas Source · since 2026-09-01$127.14——Plans negotiate; applies out of network—
10Wyoming Source · since 2020-04-01$19.56——Not classified—
11Illinois Source · since 2023-04-01$15.92——Plans negotiate; applies out of network—
12Ohio Source · since 2024-07-01$15.54——Plans negotiate; applies out of network—
19Missouri Source · since 2015-04-01$9.36——Plans must pay at least this—
20Kansas Source · since 2025-10-01$3.22——Not classified—
See all 20 states for Q4115 — start free

12 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 Q4115 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 Q4115?

It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $17.74. Oregon pays the most ($127.28) and Kansas the least ($3.22).

Which state pays the highest Medicaid rate for Q4115?

Oregon, at $127.28, effective 2026-01-01.

Do managed-care plans pay the same rate for Q4115?

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.