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Q4304 Medicaid reimbursement rates by state

Grafix plus, per square centimeter (add-on. 12 state Medicaid programs publish a fee-for-service rate for Q4304 at the physician psychologist level. Rates run from $50.55 in Indiana to $1,441.80 in Nebraska, with a median of $287.36.

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

States publishing
12
Median rate
$287.36units vary by state
Highest
$1,441.80Nebraska
Medicare (non-facility)
$116.19–$183.512026 physician fee schedule

Q4304 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$1,441.80⚠ over 3× mediansince 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,189.21since 2024-07-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$919.99since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$919.99since 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)$919.99since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$447.46since 2025-10-01——Not classified—Montana Healthcare Programs fee schedule
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$127.26since 2026-01-01——Not classified—South Dakota Medicaid Physician fee sche
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$119.93since 2026-01-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$91.83since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
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
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 Q4304?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $287.36. Nebraska pays the most ($1,441.80) and Indiana the least ($50.55 per unit).

Which state pays the highest Medicaid rate for Q4304?

Nebraska, at $1,441.80, effective 2026-07-01.

Do managed-care plans pay the same rate for Q4304?

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 Q4304 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state