Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1412. 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
14
Median % of Medicare
--
Rate range
$11,016.33 - $96,639.90
J1412 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $12,914.06 | -- | -- | 2026 |
| Arizona | $11,843.13 | -- | -- | 2026 |
| California | $11,843.13 | -- | -- | 2026 |
| Iowa | $11,473.13 | -- | -- | 2024 |
| Illinois | $11,016.33 | -- | -- | 2026 |
| Indiana | $12,435.28 | -- | Required | 2025 |
| Kansas | $11,843.13 | -- | -- | 2025 |
| Michigan | $12,368.21 | -- | -- | 2026 |
| Minnesota | $11,843.13 | -- | Required | 2026 |
| Mississippi | $12,553.71 | -- | -- | 2026 |
| New Hampshire | $11,843.13 | -- | Required | 2026 |
| New Jersey | $11,214.84 | -- | Not required | 2026 |
| New Mexico | $12,159.16 | -- | -- | 2025 |
| Texas | $96,639.90* | -- | -- | 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 J1412?
14 state Medicaid programs publish a fee-for-service rate for J1412 (injection, valoctocogene roxaparvovec-rvox, per ml, containing nominal 2 x 10^13 vector genomes), ranging from $11,016.33 in Illinois to $96,639.90 in Texas. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1412?
Texas publishes the highest Medicaid rate for J1412 at $96,639.90. Illinois publishes the lowest at $11,016.33.
Does J1412 require prior authorization under Medicaid?
3 of the 14 publishing states flag J1412 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".