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Q4193 Medicaid reimbursement rates by state

Coll-e-derm, per square centimeter (add-on. 9 state Medicaid programs publish a fee-for-service rate for Q4193 at the physician psychologist level. Rates run from $50.55 in Indiana to $2,067.00 in New Mexico, with a median of $92.95.

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

States publishing
9
Median rate
$92.95units vary by state
Highest
$2,067.00New Mexico
Medicare (non-facility)
$115.04–$134.642026 physician fee schedule

Q4193 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
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$2,067.00⚠ over 3× mediansince 2024-10-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$1,713.18⚠ over 3× mediansince 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$1,393.12⚠ over 3× mediansince 2025-10-01——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$348.28since 2025-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$92.95since 2026-01-01——Plans negotiate; applies out of network—ODM CPT/HCPCS procedure code changes for
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$83.49since 2026-01-01——Not classified—SCDHHS Pediatric Subspecialty and Neonat
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
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$79.48since 2026-04-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
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

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 Q4193?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $92.95. New Mexico pays the most ($2,067.00) and Indiana the least ($50.55 per unit).

Which state pays the highest Medicaid rate for Q4193?

New Mexico, at $2,067.00, effective 2024-10-01.

Do managed-care plans pay the same rate for Q4193?

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

Track Q4193 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state