Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0870. 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
28
Median % of Medicare
--
Rate range
$50.37 - $61.73
J0870 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $57.03 | -- | -- | 2026 |
| Arkansas | $61.73 | -- | -- | 2026 |
| Arizona | $52.70 | -- | -- | 2026 |
| California | $58.17 | -- | -- | 2026 |
| Connecticut | $58.30 | -- | -- | 2026 |
| District of Columbia | $58.30 | -- | Required | 2026 |
| Idaho | $50.37 | -- | Not required | 2026 |
| Illinois | $56.60 | -- | -- | 2026 |
| Indiana | $59.45 | -- | -- | 2026 |
| Kansas | $59.53 | -- | -- | 2026 |
| Kentucky | $58.30 | -- | -- | 2026 |
| Maine | $59.53 | -- | -- | 2026 |
| Michigan | $59.53 | -- | -- | 2026 |
| Minnesota | $59.53 | -- | Required | 2026 |
| Mississippi | $58.17 | -- | -- | 2026 |
| Montana | $58.30 | -- | -- | 2026 |
| Nebraska | $59.53 | -- | -- | 2026 |
| New Hampshire | $56.62 | -- | Not required | 2026 |
| New Jersey | $53.61 | -- | Not required | 2026 |
| New Mexico | $55.47 | -- | -- | 2025 |
| Oklahoma | $59.53 | -- | -- | 2026 |
| Rhode Island | $59.25 | -- | -- | 2026 |
| South Carolina | $57.02 | -- | -- | 2026 |
| Texas | $57.02* | -- | -- | 2026 |
| Utah | $59.53* | -- | Not required | 2026 |
| Virginia | $59.53* | -- | -- | 2026 |
| Vermont | $54.18 | -- | -- | 2026 |
| Wisconsin | $59.53 | -- | -- | 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 J0870?
28 state Medicaid programs publish a fee-for-service rate for J0870 (injection, imetelstat, 1 mg), ranging from $50.37 in Idaho to $61.73 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0870?
Arkansas publishes the highest Medicaid rate for J0870 at $61.73. Idaho publishes the lowest at $50.37.
Does J0870 require prior authorization under Medicaid?
2 of the 28 publishing states flag J0870 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".