Q4315 Medicaid reimbursement rate by state (2026)
Regenelink amniotic membrane allograft. Medicaid pays a median of $89.64 for Q4315 across 7 states, from $50.55 in Indiana to $127.26 in South Dakota.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- National median
- $89.64units vary by state
- Lowest
- $50.55Indiana
- Highest
- $127.26South Dakota
What does Medicaid pay for Q4315?
7 state Medicaid programs publish a fee-for-service rate for Q4315. The national median is $89.64 (units differ between states). South Dakota pays the most, $127.26, and Indiana the least, $50.55 per unit, a 2.5x spread.
Medicare (non-facility, 2026 physician fee schedule): $116.19–$149.91 depending on the state's Medicare locality.
Q4315 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for Q4315?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $89.64. South Dakota pays the most ($127.26) and Indiana the least ($50.55 per unit).
Which state pays the highest Medicaid rate for Q4315?
South Dakota, at $127.26, effective 2026-01-01.
Do managed-care plans pay the same rate for Q4315?
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.