Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0225. 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
27
Median % of Medicare
--
Rate range
$3,819.23 - $5,023.73
J0225 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $5,003.64 | -- | -- | 2026 |
| Arkansas | $3,819.23 | -- | -- | 2026 |
| Arizona | $4,671.86 | -- | -- | 2026 |
| California | $5,023.73 | -- | -- | 2026 |
| Connecticut | $5,009.56 | -- | -- | 2026 |
| District of Columbia | $5,009.56 | -- | Not required | 2026 |
| Iowa | $4,835.15 | -- | -- | 2024 |
| Idaho | $4,328.26 | -- | Required | 2026 |
| Illinois | $4,883.75 | -- | -- | 2026 |
| Indiana | $5,012.74 | -- | -- | 2023 |
| Kansas | $5,012.60 | -- | -- | 2026 |
| Kentucky | $5,009.56 | -- | -- | 2026 |
| Michigan | $5,012.60 | -- | -- | 2026 |
| Minnesota | $5,012.59 | -- | Required | 2026 |
| Mississippi | $5,019.27 | -- | -- | 2026 |
| Montana | $5,009.56 | -- | -- | 2026 |
| North Carolina | $5,012.60 | -- | -- | 2026 |
| Nebraska | $5,012.59 | -- | -- | 2026 |
| New Hampshire | $4,774.04 | -- | Not required | 2026 |
| New Mexico | $4,917.75 | -- | -- | 2025 |
| Oklahoma | $5,012.60 | -- | -- | 2026 |
| South Carolina | $5,012.60 | -- | -- | 2026 |
| Texas | $4,983.86* | -- | -- | 2026 |
| Utah | $5,012.60* | -- | Not required | 2026 |
| Virginia | $5,019.27* | -- | -- | 2026 |
| Vermont | $4,753.46 | -- | Required | 2026 |
| Wisconsin | $5,012.60 | -- | -- | 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 drugs codes
- J0013 - Esketamine, nasal spray, 1 mg
- J0120 - Injection, tetracycline, up to 250 mg
- J0121 - Injection, omadacycline, 1 mg
- J0122 - Injection, eravacycline, 1 mg
- J0129 - Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
- J0130 - Injection abciximab, 10 mg
- J0131 - Injection, acetaminophen, not otherwise specified,10 mg
- J0132 - Injection, acetylcysteine, 100 mg
All 224 codes from J0013 to J0911 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J0225?
27 state Medicaid programs publish a fee-for-service rate for J0225 (injection, vutrisiran, 1 mg), ranging from $3,819.23 in Arkansas to $5,023.73 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0225?
California publishes the highest Medicaid rate for J0225 at $5,023.73. Arkansas publishes the lowest at $3,819.23.
Does J0225 require prior authorization under Medicaid?
3 of the 27 publishing states flag J0225 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".