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Q9954 Medicaid reimbursement rates by state

Oral magnetic resonance contrast agent, per 100 ml. 18 state Medicaid programs publish a fee-for-service rate for Q9954 at the physician psychologist level. Rates run from $0.32 in Iowa to $13.48 in Montana, with a median of $11.37.

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

States publishing
18
Median rate
$11.37units vary by state
Highest
$13.48Montana
Medicare (non-facility)
—not on the physician fee schedule

Q9954 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.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaIndependent (non-agency) provider · Montana Medicaid and HMK Plus (fee-for-service)$13.48since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$12.36since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$11.71since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$11.66since 2013-09-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$11.66since 2021-01-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$11.66since 2013-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$11.66since 2013-04-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$11.66since 2013-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$11.66since 2013-04-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$11.08since 2024-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$10.64since 2011-10-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$10.44since 2026-01-01——Not classified—Maryland Medicaid Professional Services
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$10.31since 2013-10-01——Not classified—SCDHHS Pediatric Subspecialty and Neonat
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$9.55since 2021-01-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$9.19since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$7.18since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$2.92since 2013-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$0.32since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN

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 Q9954?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $11.37. Montana pays the most ($13.48) and Iowa the least ($0.32).

Which state pays the highest Medicaid rate for Q9954?

Montana, at $13.48, effective 2025-07-01.

Do managed-care plans pay the same rate for Q9954?

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.

Related Physician & professional codes

Track Q9954 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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