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Q0180 Medicaid reimbursement rates by state

Dolasetron mesylate, 100 mg, oral. 11 state Medicaid programs publish a fee-for-service rate for Q0180 at the physician psychologist level. Rates run from $54.99 in Illinois to $101.24 in Wisconsin, with a median of $64.42.

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

States publishing
11
Median rate
$64.42units vary by state
Highest
$101.24Wisconsin
Medicare (non-facility)
—not on the physician fee schedule

Q0180 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
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$101.24since 2017-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$101.23since 2017-01-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$94.79since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$94.76since 2026-01-01——Not classified—Maryland Medicaid Professional Services
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$66.71since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$64.42since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$60.32since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$60.31since 2023-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$59.12since 2022-07-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$58.18since 2024-07-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$54.99since 2022-10-01——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 Q0180?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $64.42. Wisconsin pays the most ($101.24) and Illinois the least ($54.99).

Which state pays the highest Medicaid rate for Q0180?

Wisconsin, at $101.24, effective 2017-01-01.

Do managed-care plans pay the same rate for Q0180?

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 Physician & professional codes

Track Q0180 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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