Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0586. 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
31
Median % of Medicare
--
Rate range
$7.16 - $13.36
J0586 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $8.75 | -- | -- | 2026 |
| Arkansas | $8.08 | -- | -- | 2026 |
| Arizona | $8.10 | -- | -- | 2026 |
| California | $13.36 | -- | -- | 2026 |
| Connecticut | $8.80 | -- | -- | 2026 |
| District of Columbia | $8.80 | -- | Required | 2026 |
| Iowa | $8.70 | -- | -- | 2022 |
| Idaho | $7.60 | -- | Not required | 2026 |
| Illinois | $8.66 | -- | -- | 2026 |
| Indiana | $9.25 | -- | -- | 2025 |
| Kansas | $8.95 | -- | -- | 2026 |
| Kentucky | $8.80 | -- | -- | 2026 |
| Michigan | $8.95 | -- | -- | 2026 |
| Minnesota | $8.94 | -- | Required | 2026 |
| Mississippi | $8.90 | -- | -- | 2026 |
| Montana | $8.80 | -- | -- | 2026 |
| North Carolina | $8.95 | -- | -- | 2026 |
| Nebraska | $8.94 | -- | -- | 2026 |
| New Hampshire | $8.81 | -- | Not required | 2026 |
| New Jersey | $7.16 | -- | Not required | 2026 |
| New Mexico | $8.53 | -- | -- | 2025 |
| Oklahoma | $8.95 | -- | -- | 2026 |
| Rhode Island | $11.18 | -- | -- | 2026 |
| South Carolina | $8.95 | -- | -- | 2026 |
| Texas | $9.17* | -- | -- | 2026 |
| Utah | $8.95* | -- | Required | 2026 |
| Virginia | $8.94* | -- | -- | 2026 |
| Vermont | $8.31 | -- | Required | 2026 |
| Washington | $8.95 | -- | -- | 2026 |
| Wisconsin | $8.95 | -- | -- | 2026 |
| Wyoming | $8.95 | -- | 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 J0586?
31 state Medicaid programs publish a fee-for-service rate for J0586 (injection, abobotulinumtoxina, 5 units), ranging from $7.16 in New Jersey to $13.36 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0586?
California publishes the highest Medicaid rate for J0586 at $13.36. New Jersey publishes the lowest at $7.16.
Does J0586 require prior authorization under Medicaid?
5 of the 31 publishing states flag J0586 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".