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Billing code Q0175 · Pharmacy

Q0175 Medicaid reimbursement rate by state (2026)

Perphenazine, 4 mg, oral. Medicaid pays a median of $0.55 for Q0175 across 21 states, from $0.08 in Indiana to $1.96 in Nevada.

Data as of Oct 5, 202621 statesEvery rate links to its official source

States publishing
21
National median
$0.55units vary by state
Lowest
$0.08Indiana
Highest
$1.96Nevada
Answer

What does Medicaid pay for Q0175?

21 state Medicaid programs publish a fee-for-service rate for Q0175. The national median is $0.55 (units differ between states). Nevada pays the most, $1.96, and Indiana the least, $0.08 per unit, a 24.5x spread.

State ranking

Q0175 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 21 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nevada Source · since 2024-04-01$1.96——Plans must pay at least this—
2Texas Source · since 2022-03-01$1.79——Plans negotiate; applies out of network—
3Massachusetts Source · since 2026-03-01$1.72——Plans negotiate; applies out of network—
10Oregon Source · since 2025-01-01$0.57——Plans negotiate; applies out of network—
11Wisconsin Source · since 2011-04-01$0.55——Plans negotiate; applies out of network—
12Rhode Island Source · since 2011-04-01$0.55——Plans negotiate; applies out of network—
20Illinois Source · since 2023-10-01$0.19——Plans negotiate; applies out of network—
21Indiana Source · since 2025-01-01$0.08unit—Plans must pay at least this—
See all 21 states for Q0175 — start free

13 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 Q0175 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 Q0175?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $0.55. Nevada pays the most ($1.96) and Indiana the least ($0.08 per unit).

Which state pays the highest Medicaid rate for Q0175?

Nevada, at $1.96, effective 2024-04-01.

Do managed-care plans pay the same rate for Q0175?

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.