Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0390. 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
10
Median % of Medicare
--
Rate range
$0.71 - $21.78
J0390 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $21.78 | -- | -- | 2026 |
| District of Columbia | $14.55 | -- | Not required | 2016 |
| Iowa | $19.83 | -- | -- | 2020 |
| Idaho | $16.58 | -- | Not required | 2025 |
| Maine | $0.71 | -- | -- | 2026 |
| New Jersey | $17.44 | -- | Not required | 2026 |
| New Mexico | $13.57 | -- | -- | 2025 |
| Virginia | $17.27 | -- | -- | 2005 |
| Washington | $17.27 | -- | -- | 2026 |
| Wisconsin | $3.72 | -- | -- | 2005 |
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 J0390?
10 state Medicaid programs publish a fee-for-service rate for J0390 (injection, chloroquine hydrochloride, up to 250 mg), ranging from $0.71 in Maine to $21.78 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0390?
Colorado publishes the highest Medicaid rate for J0390 at $21.78. Maine publishes the lowest at $0.71.
Does J0390 require prior authorization under Medicaid?
No publishing state flags J0390 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.