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Q4121 Medicaid reimbursement rates by state

Theraskin, per square centimeter (add-on. 35 state Medicaid programs publish a fee-for-service rate for Q4121 at the physician psychologist level. Rates run from $13.19 in Kansas to $137.06 in Connecticut, with a median of $50.11.

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

States publishing
35
Median rate
$50.11units vary by state
Highest
$137.06Connecticut
Medicare (non-facility)
$109.31–$183.512026 physician fee schedule

Q4121 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
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$137.06since 2026-07-01——Not classified—CMAP fee schedule: Physician Office and
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$130.66since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$127.28since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$127.26since 2026-01-01——Not classified—South Dakota Medicaid Physician fee sche
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$127.14since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$127.14since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$119.93since 2026-01-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$101.16since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$83.49since 2026-01-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$81.15since 2026-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$80.76since 2026-04-01——Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$66.01since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$52.75since 2025-10-01——Not classified—Montana Healthcare Programs fee schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$52.75since 2025-10-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$52.75since 2025-10-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$52.75since 2025-10-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$50.55since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$50.11since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$48.45since 2026-01-01——Not classified—Maryland Medicaid Professional Services
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$48.45since 2025-04-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$46.29since 2024-07-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$44.54since 2022-10-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$43.84since 2021-12-16——Plans must pay at least this—Louisiana Medicaid Professional Services
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$42.65since 2021-10-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$41.96since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$38.87since 2019-07-01——Plans must pay at least this—MO HealthNet fee schedule: Podiatry
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$38.47since 2017-01-01——Plans negotiate; applies out of network—Physician Maximum Allowed Fee Schedule -
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$30.96since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$25.95since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$23.52since 2021-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$23.21since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$23.18since 2024-03-04——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service)$23.13since 2025-06-13——Not classified—Arkansas Medicaid Physician / CRNA / Fam
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$21.27since 2022-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$13.19since 2025-10-01——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 Q4121?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $50.11. Connecticut pays the most ($137.06) and Kansas the least ($13.19).

Which state pays the highest Medicaid rate for Q4121?

Connecticut, at $137.06, effective 2026-07-01.

Do managed-care plans pay the same rate for Q4121?

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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