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Q4151 Medicaid reimbursement rates by state

Amnioband or guardian, per square centimeter (add-on. 21 state Medicaid programs publish a fee-for-service rate for Q4151 at the physician psychologist level. Rates run from $33.72 in Kansas to $144.44 in Ohio, with a median of $121.06.

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

States publishing
21
Median rate
$121.06units vary by state
Highest
$144.44Ohio
Medicare (non-facility)
$109.70–$183.512026 physician fee schedule

Q4151 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)$144.44since 2024-07-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$143.42since 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)$143.42since 2025-04-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$137.06since 2026-07-01——Not classified—CMAP fee schedule: Physician Office and
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$134.89since 2025-10-01——Not classified—Montana Healthcare Programs fee schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$134.88since 2025-10-01——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)$130.66since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Arizona Health Care Cost Containm
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$128.40since 2025-10-01——Plans must pay at least this—NC Medicaid fee schedule 'Local Health D
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
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$121.06since 2021-10-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$120.84since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$113.44since 2026-01-01——Plans negotiate; applies out of network—Practitioner Fee Schedule (2026-01-01)
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$111.15since 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
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$95.66since 2022-01-01——Plans must pay at least this—MO HealthNet fee schedule: Practitioner
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$91.83since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
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
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$33.72since 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 Q4151?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $121.06. Ohio pays the most ($144.44) and Kansas the least ($33.72).

Which state pays the highest Medicaid rate for Q4151?

Ohio, at $144.44, effective 2024-07-01.

Do managed-care plans pay the same rate for Q4151?

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 Q4151 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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