Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0599. 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
24
Median % of Medicare
--
Rate range
$7.48 - $17.05
J0599 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $12.10 | -- | -- | 2026 |
| Arizona | $12.59 | -- | -- | 2026 |
| California | $17.05 | -- | -- | 2026 |
| District of Columbia | $9.40 | -- | Required | 2019 |
| Iowa | $10.72 | -- | -- | 2024 |
| Idaho | $7.48 | -- | Required | 2023 |
| Illinois | $11.71 | -- | -- | 2026 |
| Indiana | $13.22 | -- | -- | 2026 |
| Kansas | $12.59 | -- | -- | 2026 |
| Maine | $11.73 | -- | -- | 2026 |
| Michigan | $12.83 | -- | -- | 2026 |
| Minnesota | $10.47 | -- | Required | 2025 |
| Mississippi | $9.92 | -- | -- | 2021 |
| Montana | $11.73 | -- | -- | 2026 |
| Nebraska | $13.45 | -- | -- | 2026 |
| New Hampshire | $12.59 | -- | Not required | 2026 |
| New Jersey | $9.31 | -- | Not required | 2026 |
| New Mexico | $10.56 | -- | -- | 2025 |
| Oklahoma | $9.40 | -- | -- | 2026 |
| South Carolina | $12.38 | -- | -- | 2026 |
| Texas | $12.34* | -- | -- | 2025 |
| Utah | $12.45* | -- | Required | 2026 |
| Washington | $12.59 | -- | -- | 2026 |
| Wisconsin | $9.40 | -- | -- | 2019 |
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 J0599?
24 state Medicaid programs publish a fee-for-service rate for J0599 (injection, c-1 esterase inhibitor (human), (haegarda), 10 units), ranging from $7.48 in Idaho to $17.05 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0599?
California publishes the highest Medicaid rate for J0599 at $17.05. Idaho publishes the lowest at $7.48.
Does J0599 require prior authorization under Medicaid?
4 of the 24 publishing states flag J0599 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".