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Billing code Q4136 · Physician & professional

Q4136 Medicaid reimbursement rate by state (2026)

Ez-derm, per square centimeter (add-on. Medicaid pays a median of $92.33 for Q4136 across 6 states, from $50.55 in Indiana to $127.26 in South Dakota.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$92.33units vary by state
Lowest
$50.55Indiana
Highest
$127.26South Dakota
Answer

What does Medicaid pay for Q4136?

6 state Medicaid programs publish a fee-for-service rate for Q4136. The national median is $92.33 (units differ between states). South Dakota pays the most, $127.26, and Indiana the least, $50.55 per unit, a 2.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $116.19–$149.91 depending on the state's Medicare locality.

State ranking

Q4136 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1South Dakota Source · since 2026-01-01$127.26——Not classified—
2District of Columbia Source · since 2026-01-01$119.93——Not classified—
3Idaho Source · since 2026-07-01$101.16——Not classified—
6Indiana Source · since 2026-01-01$50.55unit—Plans must pay at least this—
See all 6 states for Q4136 — start free

2 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.

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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 Q4136 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 Q4136?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $92.33. South Dakota pays the most ($127.26) and Indiana the least ($50.55 per unit).

Which state pays the highest Medicaid rate for Q4136?

South Dakota, at $127.26, effective 2026-01-01.

Do managed-care plans pay the same rate for Q4136?

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.