Q4390 Medicaid reimbursement rates by state
Ascendion, per square centimeter (add-on. 6 state Medicaid programs publish a fee-for-service rate for Q4390. Rates run from $49.27 in Indiana to $137.06 in Connecticut, with a median of $87.66.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $87.66units vary by state
- Highest
- $137.06Connecticut
- Medicare (non-facility)
- $116.19–$137.062026 physician fee schedule
Q4390 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $137.06since 2026-07-01 | — | — | Not classified | — | CMAP fee schedule: Physician Office and |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $92.95since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | ODM CPT/HCPCS procedure code changes for |
| ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP) | $91.83since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | Child Health Plan Plus FY 2026-2027 Fee |
| 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) | $49.27since 2025-10-01 | unit | — | 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 Q4390?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $87.66. Connecticut pays the most ($137.06) and Indiana the least ($49.27 per unit).
Which state pays the highest Medicaid rate for Q4390?
Connecticut, at $137.06, effective 2026-07-01.
Do managed-care plans pay the same rate for Q4390?
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.