Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for Q4001. 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
20
Median % of Medicare
95.5%
Rate range
$18.14 - $169.82
Q4001 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $74.59 | 119.6% | -- | 2026 |
| Colorado | $83.63 | 134.1% | -- | 2026 |
| Florida | $28.52 | 45.7% | -- | 2026 |
| Iowa | $40.58 | 65.1% | -- | 2024 |
| Idaho | $53.88 | 86.4% | Not required | 2026 |
| Indiana | $61.14 | 98% | -- | 2026 |
| Maine | $62.36 | 100% | -- | 2026 |
| Michigan | $35.89 | 57.6% | -- | 2026 |
| Minnesota | $62.36 | 100% | -- | 2026 |
| Missouri | $40.16 | 64.4% | Not required | 2022 |
| Mississippi | $49.89 | 80% | -- | 2026 |
| Montana | $62.36 | 100% | -- | 2026 |
| North Dakota | $59.55 | 95.5% | Not required | 2026 |
| New Hampshire | $43.49 | 69.7% | Not required | 2026 |
| Nevada | $169.82 | 272.3% | -- | 2024 |
| Ohio | $18.14 | 29.1% | -- | 2003 |
| Oklahoma | $62.36 | 100% | -- | 2026 |
| Vermont | $52.27 | 83.8% | -- | 2026 |
| Washington | $62.36 | 100% | -- | 2026 |
| Wisconsin | $35.51 | 56.9% | -- | 2008 |
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 325 codes from Q4001 to Q4420 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for Q4001?
20 state Medicaid programs publish a fee-for-service rate for Q4001 (casting supplies, body cast adult, with or without head, plaster), ranging from $18.14 in Ohio to $169.82 in Nevada, with a median of 95.5% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for Q4001?
Nevada publishes the highest Medicaid rate for Q4001 at $169.82 (272.3% of the national Medicare amount). Ohio publishes the lowest at $18.14.
Does Q4001 require prior authorization under Medicaid?
No publishing state flags Q4001 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.