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Billing code Q4012 · Pharmacy

Q4012 Medicaid reimbursement rate by state (2026)

Cast supplies, short arm cast, pediatric (0-10 years). Medicaid pays a median of $10.58 for Q4012 across 26 states, from $3.11 in Kansas to $25.50 in Alaska.

Data as of Oct 5, 202626 statesEvery rate links to its official source

States publishing
26
National median
$10.58units vary by state
Lowest
$3.11Kansas
Highest
$25.50Alaska
Answer

What does Medicaid pay for Q4012?

26 state Medicaid programs publish a fee-for-service rate for Q4012. The national median is $10.58 (units differ between states). Alaska pays the most, $25.50, and Kansas the least, $3.11, a 8.2x spread.

State ranking

Q4012 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 26 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-07-01$25.50——Not classified—
2Arizona Source · since 2023-04-01$14.07——Plans negotiate; applies out of network—
3Washington Source · since 2026-07-01$12.43——Plans negotiate; applies out of network—
13Idaho Source · since 2026-07-01$10.74——Not classified—
14Vermont Source · since 2026-01-01$10.42——Not classified—
15Colorado Source · since 2026-07-01$10.15——Plans negotiate; applies out of network—
25Missouri Source · since 2019-07-01$5.65——Plans negotiate; applies out of network—
26Kansas Source · since 2026-07-01$3.11——Not classified—
See all 26 states for Q4012 — start free

18 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 Q4012 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 Q4012?

It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $10.58. Alaska pays the most ($25.50) and Kansas the least ($3.11).

Which state pays the highest Medicaid rate for Q4012?

Alaska, at $25.50, effective 2026-07-01.

Do managed-care plans pay the same rate for Q4012?

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.