Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1324. 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
18
Median % of Medicare
--
Rate range
$0.51 - $2,115.13
J1324 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $0.66 | -- | -- | 2026 |
| Iowa | $0.68 | -- | -- | 2021 |
| Illinois | $0.62 | -- | -- | 2026 |
| Indiana | $0.70 | -- | -- | 2017 |
| Kansas | $0.66 | -- | -- | 2021 |
| Michigan | $0.70 | -- | -- | 2026 |
| Minnesota | $0.66 | -- | -- | 2024 |
| Nebraska | $0.70 | -- | -- | 2026 |
| New Hampshire | $39.98 | -- | Not required | 2026 |
| New Jersey | $19.70 | -- | Not required | 2026 |
| New Mexico | $0.51 | -- | -- | 2026 |
| Oklahoma | $0.66 | -- | -- | 2026 |
| South Carolina | $0.66 | -- | -- | 2023 |
| Texas | $0.68* | -- | -- | 2017 |
| Utah | $13.66* | -- | Not required | 2022 |
| Washington | $0.66 | -- | -- | 2026 |
| Wisconsin | $2,115.13 | -- | -- | 2007 |
| Wyoming | $0.61 | -- | -- | 2021 |
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 J1324?
18 state Medicaid programs publish a fee-for-service rate for J1324 (injection, enfuvirtide, 1 mg), ranging from $0.51 in New Mexico to $2,115.13 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1324?
Wisconsin publishes the highest Medicaid rate for J1324 at $2,115.13. New Mexico publishes the lowest at $0.51.
Does J1324 require prior authorization under Medicaid?
No publishing state flags J1324 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.