MedicaidRateStart free trial

Q4113 Medicaid reimbursement rates by state

Graftjacket xpress, injectable, 1 cc. 10 state Medicaid programs publish a fee-for-service rate for Q4113. Rates run from $50.55 in Indiana to $919.55 in Ohio, with a median of $856.58.

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

States publishing
10
Median rate
$856.58units vary by state
Highest
$919.55Ohio
Medicare (non-facility)
—not on the physician fee schedule

Q4113 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
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$919.55since 2019-11-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$919.55since 2023-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$919.55since 2026-01-01——Not classified—Maryland Medicaid Professional Services
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$919.55since 2019-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$902.00since 2026-04-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$811.16since 2019-04-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$770.61since 2024-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$370.00since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$311.36since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$50.55since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd

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 Q4113?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $856.58. Ohio pays the most ($919.55) and Indiana the least ($50.55 per unit).

Which state pays the highest Medicaid rate for Q4113?

Ohio, at $919.55, effective 2019-11-01.

Do managed-care plans pay the same rate for Q4113?

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 Q4113 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state