The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0696. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
31
Median % of Medicare
--
Rate range
$0.25 - $13.35
J0696 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $0.43 | -- | -- | 2026 |
| Arkansas | $11.84 | -- | -- | 2026 |
| Arizona | $0.40 | -- | -- | 2026 |
| California | $4.89 | -- | -- | 2026 |
| Connecticut | $0.49 | -- | -- | 2024 |
| District of Columbia | $0.46 | -- | Not required | 2026 |
| Iowa | $1.01 | -- | -- | 2024 |
| Idaho | $0.40 | -- | Not required | 2026 |
| Illinois | $0.42 | -- | -- | 2026 |
| Indiana | $0.25 | -- | -- | 2023 |
| Kansas | $0.40 | -- | -- | 2026 |
| Kentucky | $13.35 | -- | -- | 2026 |
| Louisiana | $0.45 | -- | -- | 2026 |
| Maine | $0.40 | -- | -- | 2026 |
| Michigan | $0.40 | -- | -- | 2026 |
| Minnesota | $0.25 | -- | -- | 2024 |
| Mississippi | $0.43 | -- | -- | 2026 |
| Montana | $0.46 | -- | -- | 2026 |
| North Carolina | $0.40 | -- | -- | 2026 |
| Nebraska | $0.40 | -- | -- | 2026 |
| New Hampshire | $1.00 | -- | Not required | 2026 |
| New Jersey | $12.97 | -- | Not required | 2026 |
| New Mexico | $0.45 | -- | -- | 2025 |
| Oklahoma | $0.40 | -- | -- | 2026 |
| South Carolina | $0.42 | -- | -- | 2026 |
| Texas | $0.48* | -- | -- | 2026 |
| Virginia | $0.40 | -- | -- | 2026 |
| Vermont | $0.41 | -- | -- | 2026 |
| Washington | $0.40 | -- | -- | 2026 |
| Wisconsin | $0.40 | -- | -- | 2026 |
| Wyoming | $0.40 | -- | -- | 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.
Frequently asked questions
How much does Medicaid pay for J0696?
31 state Medicaid programs publish a fee-for-service rate for J0696 (injection, ceftriaxone sodium, per 250 mg), ranging from $0.25 in Minnesota to $13.35 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0696?
Kentucky publishes the highest Medicaid rate for J0696 at $13.35. Minnesota publishes the lowest at $0.25.
Does J0696 require prior authorization under Medicaid?
No publishing state flags J0696 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.