Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0500. 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
30
Median % of Medicare
--
Rate range
$8.52 - $35.45
J0500 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $11.36 | -- | -- | 2026 |
| Arkansas | $12.12 | -- | -- | 2026 |
| Arizona | $8.52 | -- | -- | 2026 |
| California | $13.83 | -- | -- | 2026 |
| Connecticut | $24.97 | -- | -- | 2024 |
| District of Columbia | $11.33 | -- | Not required | 2026 |
| Iowa | $35.45 | -- | -- | 2024 |
| Idaho | $9.78 | -- | Not required | 2026 |
| Illinois | $9.11 | -- | -- | 2026 |
| Indiana | $25.31 | -- | -- | 2025 |
| Kansas | $8.52 | -- | -- | 2026 |
| Maine | $8.52 | -- | -- | 2026 |
| Michigan | $8.52 | -- | -- | 2026 |
| Minnesota | $8.52 | -- | -- | 2026 |
| Mississippi | $9.37 | -- | -- | 2026 |
| Montana | $11.33 | -- | -- | 2026 |
| North Carolina | $8.52 | -- | -- | 2026 |
| Nebraska | $8.52 | -- | -- | 2026 |
| New Hampshire | $24.10 | -- | Not required | 2026 |
| New Jersey | $18.52 | -- | Not required | 2026 |
| New Mexico | $14.90 | -- | -- | 2025 |
| Oklahoma | $8.52 | -- | -- | 2026 |
| South Carolina | $8.84 | -- | -- | 2026 |
| Texas | $11.68* | -- | -- | 2026 |
| Utah | $8.52* | -- | Not required | 2026 |
| Virginia | $8.52 | -- | -- | 2026 |
| Vermont | $10.79 | -- | -- | 2026 |
| Washington | $8.52 | -- | -- | 2026 |
| Wisconsin | $8.52 | -- | -- | 2026 |
| Wyoming | $8.52 | -- | -- | 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 J0500?
30 state Medicaid programs publish a fee-for-service rate for J0500 (injection, dicyclomine hcl, up to 20 mg), ranging from $8.52 in Wyoming to $35.45 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0500?
Iowa publishes the highest Medicaid rate for J0500 at $35.45. Wyoming publishes the lowest at $8.52.
Does J0500 require prior authorization under Medicaid?
No publishing state flags J0500 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.