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Billing code Q4294 · Pharmacy

Q4294 Medicaid reimbursement rate by state (2026)

Amnio quad-core, per square centimeter (add-on. Medicaid pays a median of $127.26 for Q4294 across 11 states, from $50.55 in Indiana to $3,363.81 in Texas.

Data as of Oct 5, 202611 statesEvery rate links to its official source

States publishing
11
National median
$127.26units vary by state
Lowest
$50.55Indiana
Highest
$3,363.81Texas
Answer

What does Medicaid pay for Q4294?

11 state Medicaid programs publish a fee-for-service rate for Q4294. The national median is $127.26 (units differ between states). Texas pays the most, $3,363.81, and Indiana the least, $50.55 per unit, a 66.5x spread.

Medicare (non-facility, 2026 physician fee schedule): $115.80–$149.91 depending on the state's Medicare locality.

State ranking

Q4294 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2026-06-01$3,363.81——Plans negotiate; applies out of network—
2Montana Source · since 2025-10-01$3,363.81——Not classified—
3Maryland Source · since 2026-01-01$2,521.47——Not classified—
5Ohio Source · since 2024-07-01$2,279.00——Plans negotiate; applies out of network—
6South Dakota Source · since 2026-01-01$127.26——Not classified—
10Michigan Source · since 2026-01-01$81.15——Plans negotiate; applies out of network—
11Indiana Source · since 2026-01-01$50.55unit—Plans must pay at least this—
See all 11 states for Q4294 — start free

4 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 Q4294 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 Q4294?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $127.26. Texas pays the most ($3,363.81) and Indiana the least ($50.55 per unit).

Which state pays the highest Medicaid rate for Q4294?

Texas, at $3,363.81, effective 2026-06-01.

Do managed-care plans pay the same rate for Q4294?

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.