Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1553. 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
14
Median % of Medicare
--
Rate range
$23.11 - $24.91
J1553 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $23.11 | -- | -- | 2026 |
| Connecticut | $24.32 | -- | -- | 2026 |
| Indiana | $24.91 | -- | -- | 2026 |
| Kansas | $24.15 | -- | -- | 2026 |
| Michigan | $24.15 | -- | -- | 2026 |
| Minnesota | $24.14 | -- | -- | 2026 |
| Mississippi | $24.32 | -- | -- | 2026 |
| Nebraska | $24.14 | -- | -- | 2026 |
| New Hampshire | $23.72 | -- | Not required | 2026 |
| South Carolina | $24.15 | -- | -- | 2026 |
| Utah | $24.15* | -- | Required | 2026 |
| Virginia | $24.32 | -- | -- | 2026 |
| Washington | $24.15 | -- | -- | 2026 |
| Wisconsin | $24.15 | -- | -- | 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 J1553?
14 state Medicaid programs publish a fee-for-service rate for J1553 (injection, immune globulin (yimmugo), 100 mg), ranging from $23.11 in Arizona to $24.91 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1553?
Indiana publishes the highest Medicaid rate for J1553 at $24.91. Arizona publishes the lowest at $23.11.
Does J1553 require prior authorization under Medicaid?
1 of the 14 publishing states flag J1553 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".