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Q4045 Medicaid reimbursement rate by state (2026)

Cast supplies, short leg splint, adult (11 years +), plaster. Medicaid pays a median of $12.59 for Q4045 across 28 states, from $3.06 in Wyoming to $29.81 in Nevada.

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

States publishing
28
National median
$12.59units vary by state
Lowest
$3.06Wyoming
Highest
$29.81Nevada

What does Medicaid pay for Q4045?

28 state Medicaid programs publish a fee-for-service rate for Q4045 at the physician psychologist level. The national median is $12.59 (units differ between states). Nevada pays the most, $29.81, and Wyoming the least, $3.06, a 9.7x spread.

Q4045 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 28 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nevada Source · since 2024-01-01$29.81——Plans must pay at least this—
2Alaska Source · since 2026-07-01$25.50——Not classified—
3Arizona Source · since 2022-10-01$16.75——Plans negotiate; applies out of network—
14Idaho Source · since 2026-07-01$12.78——Not classified—
15Vermont Source · since 2026-01-01$12.40——Not classified—
16Colorado Source · since 2026-07-01$12.08——Plans negotiate; applies out of network—
27Kansas Source · since 2026-07-01$3.70——Not classified—
28Wyoming Source · since 2021-01-01$3.06——Not classified—
See all 28 states for Q4045 — start free

20 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.

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 Q4045 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for Q4045?

It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $12.59. Nevada pays the most ($29.81) and Wyoming the least ($3.06).

Which state pays the highest Medicaid rate for Q4045?

Nevada, at $29.81, effective 2024-01-01.

Do managed-care plans pay the same rate for Q4045?

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.