Skip to content
Billing code Q4105 · Equipment & supplies

Q4105 Medicaid reimbursement rate by state (2026)

Integra dermal regeneration template. Medicaid pays a median of $29.31 for Q4105 across 28 states, from $6.74 in Kansas to $137.06 in Connecticut.

Data as of Oct 5, 202628 statesEvery rate links to its official source

States publishing
28
National median
$29.31units vary by state
Lowest
$6.74Kansas
Highest
$137.06Connecticut
Answer

What does Medicaid pay for Q4105?

28 state Medicaid programs publish a fee-for-service rate for Q4105. The national median is $29.31 (units differ between states). Connecticut pays the most, $137.06, and Kansas the least, $6.74, a 20.3x spread.

Medicare (non-facility, 2026 physician fee schedule): $109.31–$183.51 depending on the state's Medicare locality.

State ranking

Q4105 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
1Connecticut Source · since 2026-07-01$137.06——Not classified—
2Oregon Source · since 2026-01-01$127.28——Plans negotiate; applies out of network—
3South Dakota Source · since 2026-01-01$127.26——Not classified—
14Maryland Source · since 2026-01-01$30.28——Not classified—
15Arizona Source · since 2023-04-01$28.33——Plans negotiate; applies out of network—
16Montana Source · since 2025-10-01$26.94——Not classified—
27California Source · since 2026-10-01$11.87——Plans negotiate; applies out of network—
28Kansas Source · since 2025-10-01$6.74——Not classified—
See all 28 states for Q4105 — 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 Q4105 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 Q4105?

It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $29.31. Connecticut pays the most ($137.06) and Kansas the least ($6.74).

Which state pays the highest Medicaid rate for Q4105?

Connecticut, at $137.06, effective 2026-07-01.

Do managed-care plans pay the same rate for Q4105?

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.