Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1451. 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
26
Median % of Medicare
--
Rate range
$5.24 - $17.32
J1451 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $9.86 | -- | -- | 2026 |
| Arkansas | $5.96* | -- | -- | 2026 |
| Arizona | $5.85 | -- | -- | 2026 |
| California | $15.00 | -- | -- | 2026 |
| District of Columbia | $11.23 | -- | Not required | 2006 |
| Iowa | $15.19 | -- | -- | 2024 |
| Idaho | $6.01 | -- | Not required | 2025 |
| Indiana | $10.34 | -- | -- | 2024 |
| Kentucky | $6.43 | -- | -- | 2026 |
| Maine | $6.18 | -- | -- | 2026 |
| Michigan | $6.70 | -- | -- | 2026 |
| Minnesota | $5.24 | -- | -- | 2026 |
| Mississippi | $6.43 | -- | -- | 2026 |
| Montana | $7.82 | -- | -- | 2026 |
| Nebraska | $13.28 | -- | -- | 2026 |
| New Hampshire | $14.87 | -- | Not required | 2026 |
| New Jersey | $12.11 | -- | Not required | 2026 |
| New Mexico | $7.10 | -- | -- | 2025 |
| Rhode Island | $15.22 | -- | -- | 2026 |
| South Carolina | $12.43 | -- | -- | 2024 |
| Texas | $10.47* | -- | -- | 2019 |
| Utah | $9.85* | -- | Not required | 2026 |
| Virginia | $6.46 | -- | -- | 2013 |
| Washington | $17.32 | -- | -- | 2026 |
| Wisconsin | $6.70 | -- | -- | 2014 |
| Wyoming | $6.16 | -- | -- | 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 J1451?
26 state Medicaid programs publish a fee-for-service rate for J1451 (injection, fomepizole, 15 mg), ranging from $5.24 in Minnesota to $17.32 in Washington. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1451?
Washington publishes the highest Medicaid rate for J1451 at $17.32. Minnesota publishes the lowest at $5.24.
Does J1451 require prior authorization under Medicaid?
No publishing state flags J1451 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.