Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1572. 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
22
Median % of Medicare
--
Rate range
$30.15 - $90.74
J1572 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $32.61 | -- | -- | 2026 |
| Arizona | $42.31 | -- | -- | 2026 |
| California | $57.40 | -- | -- | 2026 |
| District of Columbia | $41.53 | -- | Not required | 2023 |
| Iowa | $53.62 | -- | -- | 2024 |
| Indiana | $55.59 | -- | -- | 2022 |
| Kentucky | $90.74 | -- | -- | 2026 |
| Michigan | $56.12 | -- | -- | 2026 |
| Minnesota | $41.16 | -- | -- | 2026 |
| Mississippi | $90.74 | -- | -- | 2026 |
| Montana | $60.11 | -- | -- | 2025 |
| North Carolina | $57.18 | -- | -- | 2024 |
| Nebraska | $56.54 | -- | -- | 2026 |
| New Hampshire | $52.94 | -- | Not required | 2026 |
| New Jersey | $44.10 | -- | Not required | 2026 |
| New Mexico | $56.83 | -- | -- | 2025 |
| Oklahoma | $56.12 | -- | -- | 2026 |
| Rhode Island | $47.43 | -- | -- | 2026 |
| Texas | $63.53* | -- | -- | 2025 |
| Utah | $30.15* | -- | Required | 2025 |
| Washington | $52.94 | -- | -- | 2026 |
| Wisconsin | $56.12 | -- | -- | 2023 |
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 J1572?
22 state Medicaid programs publish a fee-for-service rate for J1572 (injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg), ranging from $30.15 in Utah to $90.74 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1572?
Kentucky publishes the highest Medicaid rate for J1572 at $90.74. Utah publishes the lowest at $30.15.
Does J1572 require prior authorization under Medicaid?
1 of the 22 publishing states flag J1572 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".