Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1095. 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
13
Median % of Medicare
--
Rate range
$0.01 - $6.07
J1095 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $1.19 | -- | -- | 2026 |
| Arizona | $1.15 | -- | -- | 2026 |
| California | $5.61 | -- | -- | 2026 |
| Iowa | $1.16 | -- | -- | 2024 |
| Indiana | $1.21 | -- | -- | 2021 |
| Kansas | $1.11 | -- | -- | 2019 |
| Michigan | $1.22 | -- | -- | 2026 |
| Minnesota | $1.15 | -- | Required | 2026 |
| Mississippi | $1.15 | -- | -- | 2025 |
| Nebraska | $1.23 | -- | -- | 2026 |
| New Mexico | $2.34 | -- | -- | 2025 |
| Texas | $6.07* | -- | -- | 2025 |
| Wisconsin | $0.01 | -- | -- | 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 194 codes from J1000 to J1980 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J1095?
13 state Medicaid programs publish a fee-for-service rate for J1095 (injection, dexamethasone 9 percent, intraocular, 1 microgram), ranging from $0.01 in Wisconsin to $6.07 in Texas. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1095?
Texas publishes the highest Medicaid rate for J1095 at $6.07. Wisconsin publishes the lowest at $0.01.
Does J1095 require prior authorization under Medicaid?
1 of the 13 publishing states flag J1095 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".