Q0511 Medicaid reimbursement rate by state (2026)
Pharmacy supply fee for oral anti-cancer. Medicaid pays a median of $12.60 for Q0511 across 6 states, from $1.86 in New Hampshire to $24.00 in North Dakota.
- States publishing
- 6
- National median
- $12.60units vary by state
- Lowest
- $1.86New Hampshire
- Highest
- $24.00North Dakota
What does Medicaid pay for Q0511?
6 state Medicaid programs publish a fee-for-service rate for Q0511. The national median is $12.60 (units differ between states). North Dakota pays the most, $24.00, and New Hampshire the least, $1.86, a 12.9x spread.
Q0511 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for Q0511?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $12.60. North Dakota pays the most ($24.00) and New Hampshire the least ($1.86).
Which state pays the highest Medicaid rate for Q0511?
North Dakota, at $24.00, effective 2025-07-01.
Do managed-care plans pay the same rate for Q0511?
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.