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Q4310 Medicaid reimbursement rates by state

Procenta, per 100 mg. 13 state Medicaid programs publish a fee-for-service rate for Q4310 at the physician psychologist level. Rates run from $50.55 in Indiana to $4,870.80 in South Carolina, with a median of $1,391.61.

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

States publishing
13
Median rate
$1,391.61units vary by state
Highest
$4,870.80South Carolina
Medicare (non-facility)
—not on the physician fee schedule

Q4310 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)$4,870.80since 2026-01-01——Plans negotiate; applies out of network—SCDHHS Nurse Midwives Fee Schedule (sche
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$2,154.98since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$2,154.98since 2025-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$2,154.98since 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)$2,154.98since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1,861.90since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,391.61since 2025-10-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1,391.61since 2025-10-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$1,391.61since 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$347.90since 2025-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$169.13since 2024-04-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$87.89since 2026-07-01——Not classified—Health First Colorado Physician Fee 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

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 Q4310?

It depends on the state. Of the 13 states with a published fee-for-service rate, the median is $1,391.61. South Carolina pays the most ($4,870.80) and Indiana the least ($50.55 per unit).

Which state pays the highest Medicaid rate for Q4310?

South Carolina, at $4,870.80, effective 2026-01-01.

Do managed-care plans pay the same rate for Q4310?

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 Q4310 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state