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Q4132 Medicaid reimbursement rates by state

Grafix core and grafixpl core, per square centimeter. 24 state Medicaid programs publish a fee-for-service rate for Q4132 at the physician psychologist level. Rates run from $26.68 in Kansas to $330.03 in Illinois, with a median of $111.65.

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

States publishing
24
Median rate
$111.65units vary by state
Highest
$330.03Illinois
Medicare (non-facility)
$113.51–$183.512026 physician fee schedule

Q4132 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
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$330.03since 2023-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$294.65since 2021-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$170.56since 2018-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$137.95since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$136.85since 2026-01-01——Not classified—Maryland Medicaid Professional Services
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$136.85since 2025-04-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$131.42since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$130.02since 2018-01-01——Plans negotiate; applies out of network—Max Allow Payment_OutP Site of Service (
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$127.28since 2026-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$127.14since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$127.14since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$116.59since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Local Health D
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$106.70since 2025-10-01——Not classified—Montana Healthcare Programs fee schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$106.70since 2025-10-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$106.70since 2025-10-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$106.06since 2025-03-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$101.16since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$97.32since 2024-07-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$89.18since 2025-07-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$83.49since 2026-01-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$81.15since 2026-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$80.45since 2026-07-01——Plans negotiate; applies out of network—HCA Physician-related services fee sched
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
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$26.68since 2025-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 Q4132?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $111.65. Illinois pays the most ($330.03) and Kansas the least ($26.68).

Which state pays the highest Medicaid rate for Q4132?

Illinois, at $330.03, effective 2023-04-01.

Do managed-care plans pay the same rate for Q4132?

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 Physician & professional codes

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