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Billing code Q4388 · Physician & professional

Q4388 Medicaid reimbursement rate by state (2026)

Neothelium 4l, per square centimeter (add-on. Medicaid pays a median of $91.83 for Q4388 across 7 states, from $49.27 in Indiana to $178.88 in Montana.

Data as of Oct 5, 20267 statesEvery rate links to its official source

States publishing
7
National median
$91.83units vary by state
Lowest
$49.27Indiana
Highest
$178.88Montana
Answer

What does Medicaid pay for Q4388?

7 state Medicaid programs publish a fee-for-service rate for Q4388. The national median is $91.83 (units differ between states). Montana pays the most, $178.88, and Indiana the least, $49.27 per unit, a 3.6x spread.

Medicare (non-facility, 2026 physician fee schedule): $116.19–$149.91 depending on the state's Medicare locality.

State ranking

Q4388 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-07-01$178.88——Not classified—
2District of Columbia Source · since 2026-01-01$119.93——Not classified—
3Ohio Source · since 2026-01-01$92.95——Plans negotiate; applies out of network—
7Indiana Source · since 2025-10-01$49.27unit—Plans must pay at least this—
See all 7 states for Q4388 — start free

3 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 Q4388 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 Q4388?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $91.83. Montana pays the most ($178.88) and Indiana the least ($49.27 per unit).

Which state pays the highest Medicaid rate for Q4388?

Montana, at $178.88, effective 2026-07-01.

Do managed-care plans pay the same rate for Q4388?

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.