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Q4168 Medicaid reimbursement rates by state

Amnioband, 1 mg. 10 state Medicaid programs publish a fee-for-service rate for Q4168 at the physician psychologist level. Rates run from $4.26 in Kansas to $83.49 in South Carolina, with a median of $17.16.

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

States publishing
10
Median rate
$17.16units vary by state
Highest
$83.49South Carolina
Medicare (non-facility)
—not on the physician fee schedule

Q4168 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
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$83.49⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
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
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$17.50since 2026-07-01——Not classified—South Dakota Medicaid Physician fee sche
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$17.26since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$17.26since 2023-10-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$17.05since 2024-04-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$17.05since 2024-04-01——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)$17.05since 2026-01-01——Not classified—Maryland Medicaid Professional Services
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$17.05since 2024-04-01——Not classified—Montana Healthcare Programs fee schedule
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$4.26since 2024-04-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 Q4168?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $17.16. South Carolina pays the most ($83.49) and Kansas the least ($4.26).

Which state pays the highest Medicaid rate for Q4168?

South Carolina, at $83.49, effective 2026-01-01.

Do managed-care plans pay the same rate for Q4168?

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

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