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Q5160 Medicaid reimbursement rate by state (2026)

Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg. Medicaid pays a median of $82.19 for Q5160 across 24 states, from $74.04 in Illinois to $95.52 in Texas.

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

States publishing
24
National median
$82.19units vary by state
Lowest
$74.04Illinois
Highest
$95.52Texas

What does Medicaid pay for Q5160?

24 state Medicaid programs publish a fee-for-service rate for Q5160 at the physician psychologist level. The national median is $82.19 (units differ between states). Texas pays the most, $95.52, and Illinois the least, $74.04, a 1.3x spread.

Q5160 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Texas Source · since 2026-04-01$95.52——Plans negotiate; applies out of network—
2Arkansas Source · since 2026-03-27$90.74——Not classified—
3Indiana Source · since 2026-01-01$83.58unit—Plans must pay at least this—
12Virginia Source · since 2026-07-01$82.23——Plans negotiate; applies out of network—
13Utah Source · since 2026-10-01$82.14——Plans negotiate; applies out of network—
14Georgia Source · since 2026-10-01$82.14——Plans negotiate; applies out of network—
23Colorado Source · since 2026-10-01$79.43——Not classified—
24Illinois Source · since 2026-01-01$74.04——Plans negotiate; applies out of network—
See all 24 states for Q5160 — start free

16 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.

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 Q5160 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for Q5160?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $82.19. Texas pays the most ($95.52) and Illinois the least ($74.04).

Which state pays the highest Medicaid rate for Q5160?

Texas, at $95.52, effective 2026-04-01.

Do managed-care plans pay the same rate for Q5160?

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.