Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for Q0484. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
12
Median % of Medicare
82.2%
Rate range
$2,752.23 - $5,234.07
Q0484 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $5,234.07 | 117.3% | -- | 2026 |
| Georgia | $3,365.16* | 75.4% | -- | 2026 |
| Iowa | $3,490.37 | 78.2% | -- | 2024 |
| Idaho | $3,780.88 | 84.7% | Required | 2026 |
| Illinois | $3,105.10 | 69.6% | -- | 2026 |
| Indiana | $4,395.57 | 98.5% | Required | 2026 |
| Minnesota | $4,483.48 | 100.5% | Required | 2026 |
| Ohio | $3,432.17 | 76.9% | -- | 2026 |
| Texas | $3,355.87* | 75.2% | -- | 2016 |
| Vermont | $3,668.14 | 82.2% | -- | 2026 |
| Washington | $4,376.02 | 98.1% | -- | 2026 |
| Wisconsin | $2,752.23 | -- | -- | 2013 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related state-specific services codes
- C1716 - Brachytherapy source, non-stranded, gold-198, per source
- C1717 - Brachytherapy source, non-stranded, high dose rate iridium-192, per source
- C1719 - Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
- C2616 - Brachytherapy source, non-stranded, yttrium-90, per source
- C2634 - Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
- C2635 - Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
- C2636 - Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
- C2638 - Brachytherapy source, stranded, iodine-125, per source
All 52 codes from Q0035 to Q0506 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for Q0484?
12 state Medicaid programs publish a fee-for-service rate for Q0484 (monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only), ranging from $2,752.23 in Wisconsin to $5,234.07 in Arizona, with a median of 82.2% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for Q0484?
Arizona publishes the highest Medicaid rate for Q0484 at $5,234.07 (117.3% of the national Medicare amount). Wisconsin publishes the lowest at $2,752.23.
Does Q0484 require prior authorization under Medicaid?
3 of the 12 publishing states flag Q0484 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".