Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for Q2043. 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
26
Median % of Medicare
--
Rate range
$47,005.15 - $65,732.65
Q2043 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $52,916.50 | -- | -- | 2026 |
| Arizona | $52,759.68 | -- | -- | 2026 |
| California | $56,269.19 | -- | -- | 2026 |
| Connecticut | $55,536.50 | -- | -- | 2025 |
| District of Columbia | $54,404.11 | -- | Required | 2026 |
| Idaho | $47,005.15 | -- | Required | 2026 |
| Indiana | $65,732.65 | -- | Required | 2020 |
| Kansas | $55,932.43 | -- | -- | 2026 |
| Kentucky | $54,404.11 | -- | -- | 2026 |
| Michigan | $55,932.43 | -- | -- | 2026 |
| Minnesota | $55,932.42 | -- | Required | 2026 |
| Mississippi | $54,404.11 | -- | -- | 2026 |
| Montana | $54,404.11 | -- | -- | 2026 |
| New Hampshire | $62,602.52 | -- | Not required | 2026 |
| New Jersey | $61,976.49 | -- | Not required | 2026 |
| New Mexico | $55,536.50 | -- | -- | 2025 |
| Oklahoma | $55,932.43 | -- | -- | 2026 |
| Rhode Island | $59,561.53 | -- | -- | 2026 |
| South Carolina | $53,294.10 | -- | -- | 2026 |
| Texas | $55,945.97* | -- | -- | 2026 |
| Utah | $55,932.43* | -- | Not required | 2026 |
| Virginia | $55,932.42 | -- | -- | 2026 |
| Vermont | $52,508.70 | -- | Required | 2026 |
| Washington | $55,932.43 | -- | -- | 2026 |
| Wisconsin | $55,932.43 | -- | -- | 2026 |
| Wyoming | $55,932.43 | -- | -- | 2026 |
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 12 codes from Q2009 to Q2058 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for Q2043?
26 state Medicaid programs publish a fee-for-service rate for Q2043 (sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion), ranging from $47,005.15 in Idaho to $65,732.65 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for Q2043?
Indiana publishes the highest Medicaid rate for Q2043 at $65,732.65. Idaho publishes the lowest at $47,005.15.
Does Q2043 require prior authorization under Medicaid?
5 of the 26 publishing states flag Q2043 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".