Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0567. 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
20
Median % of Medicare
--
Rate range
$6.00 - $234.47
J0567 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $234.47 | -- | -- | 2026 |
| Arkansas | $102.60 | -- | -- | 2026 |
| Arizona | $119.58 | -- | -- | 2026 |
| California | $119.58 | -- | -- | 2026 |
| District of Columbia | $45.00 | -- | Required | 2019 |
| Iowa | $105.02 | -- | -- | 2024 |
| Indiana | $125.56 | -- | -- | 2026 |
| Kansas | $119.58 | -- | -- | 2026 |
| Kentucky | $121.20 | -- | -- | 2026 |
| Michigan | $122.80 | -- | -- | 2026 |
| Minnesota | $110.86 | -- | Required | 2025 |
| Montana | $121.17 | -- | -- | 2026 |
| Nebraska | $127.71 | -- | -- | 2026 |
| New Hampshire | $119.58 | -- | Required | 2026 |
| New Jersey | $89.10 | -- | Not required | 2026 |
| New Mexico | $26.22 | -- | -- | 2025 |
| Oklahoma | $6.00 | -- | -- | 2026 |
| South Carolina | $117.67 | -- | -- | 2026 |
| Texas | $119.58* | -- | -- | 2026 |
| Utah | $119.58* | -- | Required | 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 J0567?
20 state Medicaid programs publish a fee-for-service rate for J0567 (injection, cerliponase alfa, 1 mg), ranging from $6.00 in Oklahoma to $234.47 in Alabama. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0567?
Alabama publishes the highest Medicaid rate for J0567 at $234.47. Oklahoma publishes the lowest at $6.00.
Does J0567 require prior authorization under Medicaid?
4 of the 20 publishing states flag J0567 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".