Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1571. 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
32
Median % of Medicare
--
Rate range
$59.25 - $93.44
J1571 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $66.64 | -- | -- | 2026 |
| Arkansas | $59.25 | -- | -- | 2026 |
| Arizona | $62.64 | -- | -- | 2026 |
| California | $74.69 | -- | -- | 2026 |
| Connecticut | $69.59 | -- | -- | 2026 |
| District of Columbia | $69.59 | -- | Not required | 2026 |
| Iowa | $90.13 | -- | -- | 2024 |
| Idaho | $60.12 | -- | Not required | 2026 |
| Illinois | $68.34 | -- | -- | 2026 |
| Indiana | $93.44 | -- | -- | 2023 |
| Kansas | $65.61 | -- | -- | 2026 |
| Kentucky | $69.59 | -- | -- | 2026 |
| Maine | $65.61 | -- | -- | 2026 |
| Michigan | $65.61 | -- | -- | 2026 |
| Minnesota | $65.61 | -- | -- | 2026 |
| Mississippi | $70.23 | -- | -- | 2026 |
| Montana | $69.59 | -- | -- | 2026 |
| North Carolina | $65.61 | -- | -- | 2026 |
| Nebraska | $65.61 | -- | -- | 2026 |
| New Hampshire | $88.99 | -- | Not required | 2026 |
| New Jersey | $75.00 | -- | Not required | 2026 |
| New Mexico | $65.94 | -- | -- | 2025 |
| Oklahoma | $65.61 | -- | -- | 2026 |
| Rhode Island | $59.88 | -- | -- | 2026 |
| South Carolina | $68.09 | -- | -- | 2026 |
| Texas | $64.14* | -- | -- | 2026 |
| Utah | $65.61* | -- | Not required | 2026 |
| Virginia | $65.61 | -- | -- | 2026 |
| Vermont | $63.31 | -- | -- | 2026 |
| Washington | $65.61 | -- | -- | 2026 |
| Wisconsin | $65.61 | -- | -- | 2026 |
| Wyoming | $65.61 | -- | -- | 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 J1571?
32 state Medicaid programs publish a fee-for-service rate for J1571 (injection, hepatitis b immune globulin (hepagam b), intramuscular, 0.5 ml), ranging from $59.25 in Arkansas to $93.44 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1571?
Indiana publishes the highest Medicaid rate for J1571 at $93.44. Arkansas publishes the lowest at $59.25.
Does J1571 require prior authorization under Medicaid?
No publishing state flags J1571 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.