Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0716. 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
$29/mo after the trial. Cancel anytime.
Publishing states
16
Median % of Medicare
--
Rate range
$1,051.34 - $5,313.25
J0716 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $4,628.34* | -- | -- | 2026 |
| Arizona | $5,246.10 | -- | -- | 2026 |
| California | $5,250.56 | -- | -- | 2026 |
| Iowa | $5,313.25 | -- | -- | 2024 |
| Idaho | $3,823.40 | -- | Not required | 2023 |
| Kansas | $5,246.10 | -- | -- | 2023 |
| Kentucky | $1,051.34 | -- | -- | 2026 |
| Mississippi | $5,246.10 | -- | -- | 2026 |
| Montana | $4,871.94 | -- | -- | 2026 |
| New Hampshire | $5,246.10 | -- | Not required | 2026 |
| New Jersey | $3,465.00 | -- | Not required | 2026 |
| New Mexico | $1,210.30 | -- | -- | 2026 |
| Rhode Island | $4,938.59 | -- | -- | 2026 |
| South Carolina | $5,162.16 | -- | -- | 2023 |
| Utah | $5,246.10* | -- | Not required | 2024 |
| Washington | $5,246.10 | -- | -- | 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 J0716?
16 state Medicaid programs publish a fee-for-service rate for J0716 (injection, centruroides immune f(ab)2, up to 120 milligrams), ranging from $1,051.34 in Kentucky to $5,313.25 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0716?
Iowa publishes the highest Medicaid rate for J0716 at $5,313.25. Kentucky publishes the lowest at $1,051.34.
Does J0716 require prior authorization under Medicaid?
No publishing state flags J0716 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.