Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1561. 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
33
Median % of Medicare
--
Rate range
$32.88 - $80.43
J1561 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $48.96 | -- | -- | 2026 |
| Arkansas | $32.88 | -- | -- | 2026 |
| Arizona | $46.56 | -- | -- | 2026 |
| California | $49.73 | -- | -- | 2026 |
| Connecticut | $49.79 | -- | -- | 2024 |
| District of Columbia | $49.08 | -- | Not required | 2026 |
| Iowa | $69.24 | -- | -- | 2024 |
| Idaho | $42.40 | -- | Required | 2026 |
| Illinois | $48.38 | -- | -- | 2026 |
| Indiana | $80.43 | -- | -- | 2026 |
| Kansas | $49.01 | -- | -- | 2026 |
| Kentucky | $49.08 | -- | -- | 2026 |
| Massachusetts | $42.14 | -- | -- | 2026 |
| Maine | $49.01 | -- | -- | 2026 |
| Michigan | $49.01 | -- | -- | 2026 |
| Minnesota | $49.01 | -- | -- | 2026 |
| Mississippi | $49.73 | -- | -- | 2026 |
| Montana | $49.08 | -- | -- | 2026 |
| North Carolina | $49.01 | -- | -- | 2026 |
| Nebraska | $49.01 | -- | -- | 2026 |
| New Hampshire | $76.60 | -- | Not required | 2026 |
| New Jersey | $47.28 | -- | Not required | 2026 |
| New Mexico | $49.01 | -- | -- | 2025 |
| Oklahoma | $49.01 | -- | -- | 2026 |
| Rhode Island | $47.35 | -- | -- | 2026 |
| South Carolina | $42.00 | -- | -- | 2023 |
| Texas | $48.03* | -- | -- | 2026 |
| Utah | $49.01* | -- | Required | 2026 |
| Virginia | $49.01 | -- | -- | 2026 |
| Vermont | $46.51 | -- | -- | 2026 |
| Washington | $49.01 | -- | -- | 2026 |
| Wisconsin | $49.01 | -- | -- | 2026 |
| Wyoming | $49.01 | -- | -- | 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 J1561?
33 state Medicaid programs publish a fee-for-service rate for J1561 (injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg), ranging from $32.88 in Arkansas to $80.43 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1561?
Indiana publishes the highest Medicaid rate for J1561 at $80.43. Arkansas publishes the lowest at $32.88.
Does J1561 require prior authorization under Medicaid?
2 of the 33 publishing states flag J1561 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".