Q4395 Medicaid reimbursement rate by state (2026)
Acelagraft, per square centimeter (add-on. Medicaid pays a median of $91.83 for Q4395 across 7 states, from $49.27 in Indiana to $178.88 in Montana.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 7
- National median
- $91.83units vary by state
- Lowest
- $49.27Indiana
- Highest
- $178.88Montana
What does Medicaid pay for Q4395?
7 state Medicaid programs publish a fee-for-service rate for Q4395 at the physician psychologist level. 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.
Q4395 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 Q4395?
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 Q4395?
Montana, at $178.88, effective 2026-07-01.
Do managed-care plans pay the same rate for Q4395?
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.