Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0578. 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
29
Median % of Medicare
--
Rate range
$422.73 - $1,864.80
J0578 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $1,682.55 | -- | -- | 2026 |
| Arkansas | $1,616.35 | -- | -- | 2026 |
| Arizona | $1,628.90 | -- | -- | 2026 |
| California | $1,673.30 | -- | -- | 2026 |
| Connecticut | $1,714.63 | -- | -- | 2025 |
| District of Columbia | $1,680.21 | -- | Not required | 2026 |
| Idaho | $1,451.70 | -- | Not required | 2026 |
| Illinois | $1,623.78 | -- | -- | 2026 |
| Indiana | $1,864.80 | -- | Required | 2026 |
| Kansas | $1,722.31 | -- | -- | 2026 |
| Kentucky | $1,680.21 | -- | -- | 2026 |
| Maryland | $1,680.21 | -- | -- | 2026 |
| Michigan | $1,722.31 | -- | -- | 2026 |
| Minnesota | $1,722.30 | -- | Required | 2026 |
| Mississippi | $1,668.84 | -- | -- | 2026 |
| Montana | $1,680.21* | -- | Required | 2026 |
| Nebraska | $1,722.30 | -- | -- | 2026 |
| New Hampshire | $1,776.00 | -- | Not required | 2026 |
| New Jersey | $422.73 | -- | Not required | 2026 |
| New Mexico | $1,714.63 | -- | -- | 2025 |
| Oklahoma | $1,722.31 | -- | -- | 2026 |
| Rhode Island | $1,783.43 | -- | -- | 2026 |
| South Carolina | $1,722.30 | -- | -- | 2026 |
| Texas | $1,691.31* | -- | -- | 2026 |
| Utah | $1,722.31* | -- | Not required | 2026 |
| Virginia | $1,722.30* | -- | -- | 2026 |
| Vermont | $1,598.42 | -- | -- | 2026 |
| Washington | $1,722.31 | -- | -- | 2026 |
| Wisconsin | $1,722.31 | -- | -- | 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 J0578?
29 state Medicaid programs publish a fee-for-service rate for J0578 (injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy), ranging from $422.73 in New Jersey to $1,864.80 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0578?
Indiana publishes the highest Medicaid rate for J0578 at $1,864.80. New Jersey publishes the lowest at $422.73.
Does J0578 require prior authorization under Medicaid?
3 of the 29 publishing states flag J0578 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".