Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1120. 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
29
Median % of Medicare
--
Rate range
$17.23 - $40.51
J1120 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $19.84 | -- | -- | 2026 |
| Arkansas | $28.82 | -- | -- | 2026 |
| Arizona | $28.13 | -- | -- | 2026 |
| California | $28.82 | -- | -- | 2026 |
| Connecticut | $28.12 | -- | -- | 2024 |
| Iowa | $40.51 | -- | -- | 2021 |
| Idaho | $22.11 | -- | Not required | 2026 |
| Illinois | $23.70 | -- | -- | 2026 |
| Indiana | $24.15 | -- | -- | 2024 |
| Kansas | $28.13 | -- | -- | 2026 |
| Maine | $28.13 | -- | -- | 2026 |
| Michigan | $28.13 | -- | -- | 2026 |
| Minnesota | $28.12 | -- | -- | 2026 |
| Mississippi | $24.36 | -- | -- | 2026 |
| Montana | $25.59 | -- | -- | 2026 |
| North Carolina | $28.13 | -- | -- | 2026 |
| Nebraska | $28.12 | -- | -- | 2026 |
| New Hampshire | $33.00 | -- | Not required | 2026 |
| New Jersey | $22.97 | -- | Not required | 2026 |
| New Mexico | $21.62 | -- | -- | 2025 |
| Oklahoma | $28.13 | -- | -- | 2026 |
| South Carolina | $28.13 | -- | -- | 2026 |
| Texas | $17.23* | -- | -- | 2026 |
| Utah | $28.13* | -- | Not required | 2026 |
| Virginia | $28.12 | -- | -- | 2026 |
| Vermont | $18.85 | -- | -- | 2026 |
| Washington | $28.13 | -- | -- | 2026 |
| Wisconsin | $28.13 | -- | -- | 2026 |
| Wyoming | $28.13 | -- | -- | 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 194 codes from J1000 to J1980 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J1120?
29 state Medicaid programs publish a fee-for-service rate for J1120 (injection, acetazolamide sodium, up to 500 mg), ranging from $17.23 in Texas to $40.51 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1120?
Iowa publishes the highest Medicaid rate for J1120 at $40.51. Texas publishes the lowest at $17.23.
Does J1120 require prior authorization under Medicaid?
No publishing state flags J1120 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.