Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1260. 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
$4.27 - $16.57
J1260 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $14.81 | -- | -- | 2026 |
| California | $10.63 | -- | -- | 2026 |
| District of Columbia | $4.95 | -- | Not required | 2016 |
| Iowa | $16.57 | -- | -- | 2020 |
| Idaho | $6.71 | -- | Not required | 2025 |
| Kansas | $6.17 | -- | -- | 2016 |
| Maine | $6.17 | -- | -- | 2026 |
| Michigan | $6.17 | -- | -- | 2026 |
| New Jersey | $4.27 | -- | Not required | 2026 |
| New Mexico | $6.54 | -- | -- | 2025 |
| Oklahoma | $6.17 | -- | -- | 2026 |
| Rhode Island | $6.20 | -- | -- | 2026 |
| South Carolina | $7.27 | -- | -- | 2017 |
| Virginia | $6.09 | -- | -- | 2016 |
| Washington | $5.86 | -- | -- | 2026 |
| Wisconsin | $6.17 | -- | -- | 2016 |
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 J1260?
16 state Medicaid programs publish a fee-for-service rate for J1260 (injection, dolasetron mesylate, 10 mg), ranging from $4.27 in New Jersey to $16.57 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1260?
Iowa publishes the highest Medicaid rate for J1260 at $16.57. New Jersey publishes the lowest at $4.27.
Does J1260 require prior authorization under Medicaid?
No publishing state flags J1260 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.