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Q4011 Medicaid reimbursement rates by state

Cast supplies, short arm cast, pediatric (0-10 years). 28 state Medicaid programs publish a fee-for-service rate for Q4011 at the physician psychologist level. Rates run from $1.38 in Kansas to $21.25 in Alaska, with a median of $4.85.

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

States publishing
28
Median rate
$4.85units vary by state
Highest
$21.25Alaska
Medicare (non-facility)
—not on the physician fee schedule

Q4011 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
AlaskaPhysician or licensed psychologist (incl. BCBA-D) · Alaska Medicaid (fee-for-service, Department of Health)$21.25⚠ over 3× mediansince 2026-07-01——Not classified—Alaska Medicaid Physician Fee Schedule S
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$19.62⚠ over 3× mediansince 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$8.53since 2026-01-01——Not classified—Maryland Medicaid Professional Services
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$6.23since 2023-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$5.50since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$5.50since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$5.50since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$5.50since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$5.50since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$5.50since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$5.39since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$5.39since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$5.25since 2026-07-01——Not classified—ND Medicaid Professional (General) Servi
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$4.95since 2026-01-01——Not classified—South Dakota Medicaid DME fee schedule (
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$4.75since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$4.61since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - HCPCS (i
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$4.49since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$4.40since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$4.31since 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$4.21since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$4.12since 2017-08-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$3.84since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$3.17since 2023-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$3.13since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$2.90since 2021-01-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$2.52since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Rehabilitatio
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$2.52since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$1.38since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 Q4011?

It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $4.85. Alaska pays the most ($21.25) and Kansas the least ($1.38).

Which state pays the highest Medicaid rate for Q4011?

Alaska, at $21.25, effective 2026-07-01.

Do managed-care plans pay the same rate for Q4011?

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 Pharmacy codes

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