Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1306. 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
29
Median % of Medicare
--
Rate range
$10.96 - $17.07
J1306 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $12.32 | -- | -- | 2026 |
| Arkansas | $13.04 | -- | -- | 2026 |
| Arizona | $11.67 | -- | -- | 2026 |
| California | $17.07 | -- | -- | 2026 |
| Connecticut | $12.97 | -- | -- | 2024 |
| District of Columbia | $12.69 | -- | Not required | 2026 |
| Iowa | $11.88 | -- | -- | 2024 |
| Idaho | $10.96 | -- | Required | 2026 |
| Illinois | $12.27 | -- | -- | 2026 |
| Indiana | $13.80 | -- | Required | 2026 |
| Kansas | $12.91 | -- | -- | 2026 |
| Kentucky | $12.69 | -- | -- | 2026 |
| Michigan | $12.91 | -- | -- | 2026 |
| Minnesota | $12.90 | -- | Required | 2026 |
| Mississippi | $12.61 | -- | -- | 2026 |
| Montana | $12.69 | -- | Required | 2026 |
| North Carolina | $12.91 | -- | -- | 2026 |
| Nebraska | $12.90 | -- | -- | 2026 |
| New Hampshire | $13.14 | -- | Not required | 2026 |
| New Jersey | $11.33 | -- | Not required | 2026 |
| New Mexico | $12.28 | -- | -- | 2025 |
| Oklahoma | $12.91 | -- | -- | 2026 |
| South Carolina | $12.91 | -- | -- | 2026 |
| Texas | $12.35* | -- | -- | 2026 |
| Utah | $12.91* | -- | Required | 2026 |
| Virginia | $12.90* | -- | -- | 2026 |
| Vermont | $11.70 | -- | Required | 2026 |
| Washington | $12.91 | -- | -- | 2026 |
| Wisconsin | $12.91 | -- | -- | 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 J1306?
29 state Medicaid programs publish a fee-for-service rate for J1306 (injection, inclisiran, 1 mg), ranging from $10.96 in Idaho to $17.07 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1306?
California publishes the highest Medicaid rate for J1306 at $17.07. Idaho publishes the lowest at $10.96.
Does J1306 require prior authorization under Medicaid?
6 of the 29 publishing states flag J1306 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".