Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for Q4113. 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
$29/mo after the trial. Cancel anytime.
Publishing states
11
Median % of Medicare
--
Rate range
$50.55 - $1,064.14
Q4113 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $311.36 | -- | -- | 2026 |
| Colorado | $383.59 | -- | -- | 2026 |
| District of Columbia | $606.70 | -- | Not required | 2019 |
| Idaho | $193.31 | -- | Not required | 2025 |
| Indiana | $50.55 | -- | -- | 2026 |
| Montana | $1,064.14 | -- | -- | 2026 |
| New Mexico | $974.71 | -- | -- | 2025 |
| South Carolina | $902.00 | -- | -- | 2026 |
| Utah | $369.87* | -- | Not required | 2022 |
| Virginia | $811.16 | -- | -- | 2019 |
| Wyoming | $919.55 | -- | -- | 2019 |
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 Q4113?
11 state Medicaid programs publish a fee-for-service rate for Q4113 (graftjacket xpress, injectable, 1 cc), ranging from $50.55 in Indiana to $1,064.14 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for Q4113?
Montana publishes the highest Medicaid rate for Q4113 at $1,064.14. Indiana publishes the lowest at $50.55.
Does Q4113 require prior authorization under Medicaid?
No publishing state flags Q4113 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.