Q0085 Medicaid reimbursement rates by state
Chemotherapy administration by both infusion technique and.... 5 state Medicaid programs publish a fee-for-service rate for Q0085. Rates run from $18.49 in Illinois to $90.00 in Indiana, with a median of $55.30.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $55.30units vary by state
- Highest
- $90.00Indiana
- Medicare (non-facility)
- —not on the physician fee schedule
Q0085 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $90.00since 2017-11-10 | percent of billed charges | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $70.28since 2026-07-01 | visit | — | Not classified | — | Health First Colorado Physician Fee Sche |
| OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA) | $55.30since 2024-01-01 | visit | — | Plans must pay at least this | — | SoonerCare Title XIX Fee Schedule |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $33.07since 2025-01-01 | visit | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service) | $18.49since 2013-01-01 | visit | — | Plans negotiate; applies out of network | — | HFS Practitioner Fee Schedule (effective |
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 Q0085?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $55.30. Indiana pays the most ($90.00 per percent of billed charges) and Illinois the least ($18.49 per visit).
Which state pays the highest Medicaid rate for Q0085?
Indiana, at $90.00 per percent of billed charges, effective 2017-11-10.
Do managed-care plans pay the same rate for Q0085?
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.