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Q4146 Medicaid reimbursement rate by state (2026)

Tensix, per square centimeter (add-on. Medicaid pays a median of $83.49 for Q4146 across 7 states, from $8.00 in Kansas to $127.26 in South Dakota.

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

States publishing
7
National median
$83.49units vary by state
Lowest
$8.00Kansas
Highest
$127.26South Dakota

What does Medicaid pay for Q4146?

7 state Medicaid programs publish a fee-for-service rate for Q4146. The national median is $83.49 (units differ between states). South Dakota pays the most, $127.26, and Kansas the least, $8.00, a 15.9x spread.

Medicare (non-facility, 2026 physician fee schedule): $115.04–$149.91 depending on the state's Medicare locality.

Q4146 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 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—
7Kansas Source · since 2014-01-01$8.00——Not classified—
See all 7 states for Q4146 — start free

3 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.

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 Q4146 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for Q4146?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $83.49. South Dakota pays the most ($127.26) and Kansas the least ($8.00).

Which state pays the highest Medicaid rate for Q4146?

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

Do managed-care plans pay the same rate for Q4146?

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.