Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0574. 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
17
Median % of Medicare
--
Rate range
$0.68 - $29.89
J0574 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $29.16 | -- | -- | 2026 |
| California | $2.53 | -- | -- | 2026 |
| District of Columbia | $1.99 | -- | Required | 2022 |
| Iowa | $29.89 | -- | -- | 2020 |
| Indiana | $0.98 | -- | -- | 2022 |
| Kansas | $1.83 | -- | -- | 2026 |
| Maine | $12.48 | -- | -- | 2026 |
| Minnesota | $0.95 | -- | Required | 2026 |
| Mississippi | $3.55 | -- | -- | 2026 |
| Montana | $8.73* | -- | -- | 2026 |
| New Hampshire | $1.35 | -- | Not required | 2026 |
| New Jersey | $3.62 | -- | Not required | 2026 |
| New Mexico | $7.46 | -- | -- | 2025 |
| Oklahoma | $3.40 | -- | -- | 2026 |
| South Carolina | $8.45 | -- | -- | 2024 |
| Virginia | $7.76 | -- | -- | 2017 |
| Washington | $0.68 | -- | -- | 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 J0574?
17 state Medicaid programs publish a fee-for-service rate for J0574 (buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine), ranging from $0.68 in Washington to $29.89 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0574?
Iowa publishes the highest Medicaid rate for J0574 at $29.89. Washington publishes the lowest at $0.68.
Does J0574 require prior authorization under Medicaid?
2 of the 17 publishing states flag J0574 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".