Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1335. 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
$6.75 - $50.64
J1335 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $9.78 | -- | -- | 2026 |
| Arkansas | $21.24 | -- | -- | 2026 |
| Arizona | $6.75 | -- | -- | 2026 |
| California | $11.68 | -- | -- | 2026 |
| Connecticut | $12.97 | -- | -- | 2024 |
| District of Columbia | $9.16 | -- | Not required | 2026 |
| Iowa | $50.64 | -- | -- | 2024 |
| Idaho | $7.91 | -- | Not required | 2026 |
| Illinois | $7.02 | -- | -- | 2026 |
| Indiana | $15.75 | -- | -- | 2024 |
| Kansas | $6.75 | -- | -- | 2026 |
| Maine | $6.75 | -- | -- | 2026 |
| Michigan | $6.75 | -- | -- | 2026 |
| Minnesota | $6.75 | -- | -- | 2026 |
| Mississippi | $7.22 | -- | -- | 2026 |
| Montana | $9.16 | -- | -- | 2026 |
| Nebraska | $6.75 | -- | -- | 2026 |
| New Hampshire | $15.00 | -- | Not required | 2026 |
| New Jersey | $27.27 | -- | Not required | 2026 |
| New Mexico | $11.01 | -- | -- | 2025 |
| Oklahoma | $6.75 | -- | -- | 2026 |
| South Carolina | $7.00 | -- | -- | 2026 |
| Texas | $9.02* | -- | -- | 2026 |
| Utah | $6.75* | -- | Not required | 2026 |
| Virginia | $6.75 | -- | -- | 2026 |
| Vermont | $9.37 | -- | -- | 2026 |
| Washington | $6.75 | -- | -- | 2026 |
| Wisconsin | $6.75 | -- | -- | 2026 |
| Wyoming | $6.75 | -- | -- | 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 J1335?
29 state Medicaid programs publish a fee-for-service rate for J1335 (injection, ertapenem sodium, 500 mg), ranging from $6.75 in Wyoming to $50.64 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1335?
Iowa publishes the highest Medicaid rate for J1335 at $50.64. Wyoming publishes the lowest at $6.75.
Does J1335 require prior authorization under Medicaid?
No publishing state flags J1335 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.