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Q4106 Medicaid reimbursement rates by state

Dermagraft, per square centimeter. 10 state Medicaid programs publish a fee-for-service rate for Q4106. Rates run from $16.25 in California to $44.94 in Arizona, with a median of $37.75.

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

States publishing
10
Median rate
$37.75units vary by state
Highest
$44.94Arizona
Medicare (non-facility)
—not on the physician fee schedule

Q4106 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$44.94since 2024-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$44.94since 2024-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$44.94since 2024-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$44.94since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$40.51since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$34.99since 2020-01-01——Plans negotiate; applies out of network—KY Medicaid Physician fee schedule (2020
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$33.26since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Podiatry Servi
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$33.07since 2018-07-01——Plans negotiate; applies out of network—Schedule of Maximum Allw Pymt Physician.
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$31.59since 2025-10-01——Not classified—Health First Colorado Physician Fee Sche
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$16.25since 2023-01-01——Plans negotiate; applies out of network—Skin Graft Rates, effective January 1, 2

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 Q4106?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $37.75. Arizona pays the most ($44.94) and California the least ($16.25).

Which state pays the highest Medicaid rate for Q4106?

Arizona, at $44.94, effective 2024-04-01.

Do managed-care plans pay the same rate for Q4106?

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

Track Q4106 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state