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G0237 Medicaid reimbursement rates by state

Therapeutic procedures to increase strength or endurance of.... 15 state Medicaid programs publish a fee-for-service rate for G0237 at the physician psychologist level. Rates run from $2.97 in Kansas to $24.75 in Arkansas, with a median of $10.20.

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

States publishing
15
Median rate
$10.20per 15 min
Highest
$24.75Arkansas
Medicare (non-facility)
$10.79–$18.002026 physician fee schedule

G0237 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
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$24.75since 2022-08-0115 min$99.00Not classified—Arkansas Medicaid Ventilator Equipment F
OklahomaRespiratory therapist · Oklahoma Medically Fragile 1915(c) waiver$18.60since 2022-09-2115 min$74.40Paid by the state, outside plans—Reimbursement Rates for Services, Medica
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$17.84since 2026-07-0115 min$71.36Not classified—Montana Healthcare Programs fee schedule
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$17.00since 2016-07-0115 min$68.00Not classified—CMAP fee schedule: Special Services 7/1/
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$13.70since 2026-07-0115 min$54.80Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal school-based services (Local Educational Agency)$12.08since 2026-10-0115 min$48.32Paid by the state, outside plans—Medi-Cal Rates (Rates files zip: rates_d
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$10.30since 2026-01-0115 min$41.20Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$10.20since 2025-01-0115 min$40.80Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$9.87since 2026-07-0115 min$39.48Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$9.77since 2026-02-0115 min$39.08Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$8.05since 2026-04-0115 min$32.20Plans negotiate; applies out of network—BMS RBRVS 2026 Effective 4/1/26 - 3/31/2
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$7.03since 2024-04-0115 min$28.12Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$6.34since 2016-01-0115 min$25.36Not classified—MaineCare Fee Schedule (MaineCare UCR, H
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$5.75since 2024-07-0115 min$23.00Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$2.97since 2009-12-1815 min$11.88Not 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 G0237?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $10.20 per 15 min. Arkansas pays the most ($24.75 per 15 min) and Kansas the least ($2.97 per 15 min).

Which state pays the highest Medicaid rate for G0237?

Arkansas, at $24.75 per 15 min ($99.00 per hour), effective 2022-08-01.

Do managed-care plans pay the same rate for G0237?

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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