Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0694. 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
30
Median % of Medicare
--
Rate range
$3.21 - $10.88
J0694 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $4.78 | -- | -- | 2026 |
| Arkansas | $10.88 | -- | -- | 2026 |
| Arizona | $4.29 | -- | -- | 2026 |
| California | $8.02 | -- | -- | 2026 |
| Connecticut | $5.08 | -- | -- | 2024 |
| Iowa | $7.08 | -- | -- | 2024 |
| Idaho | $4.10 | -- | Not required | 2026 |
| Illinois | $3.46 | -- | -- | 2026 |
| Indiana | $3.37 | -- | -- | 2024 |
| Kansas | $4.29 | -- | -- | 2026 |
| Louisiana | $4.45 | -- | -- | 2026 |
| Maine | $4.29 | -- | -- | 2026 |
| Michigan | $4.29 | -- | -- | 2026 |
| Minnesota | $4.28 | -- | -- | 2026 |
| Mississippi | $3.56 | -- | -- | 2026 |
| Montana | $4.74 | -- | -- | 2026 |
| North Carolina | $4.29 | -- | -- | 2026 |
| Nebraska | $4.28 | -- | -- | 2026 |
| New Hampshire | $3.21 | -- | Not required | 2026 |
| New Jersey | $10.23 | -- | Not required | 2026 |
| New Mexico | $4.45 | -- | -- | 2025 |
| Oklahoma | $4.29 | -- | -- | 2026 |
| South Carolina | $4.45 | -- | -- | 2026 |
| Texas | $5.13* | -- | -- | 2026 |
| Utah | $4.29* | -- | Not required | 2026 |
| Virginia | $4.28 | -- | -- | 2026 |
| Vermont | $4.54 | -- | -- | 2026 |
| Washington | $4.29 | -- | -- | 2026 |
| Wisconsin | $4.29 | -- | -- | 2026 |
| Wyoming | $4.29 | -- | -- | 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 J0694?
30 state Medicaid programs publish a fee-for-service rate for J0694 (injection, cefoxitin sodium, 1 gm), ranging from $3.21 in New Hampshire to $10.88 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0694?
Arkansas publishes the highest Medicaid rate for J0694 at $10.88. New Hampshire publishes the lowest at $3.21.
Does J0694 require prior authorization under Medicaid?
No publishing state flags J0694 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.