Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1595. 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
19
Median % of Medicare
--
Rate range
$28.62 - $237.13
J1595 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $162.99* | -- | -- | 2026 |
| District of Columbia | $28.62 | -- | Not required | 2017 |
| Iowa | $58.24 | -- | -- | 2021 |
| Idaho | $50.48 | -- | Required | 2025 |
| Indiana | $52.50 | -- | -- | 2020 |
| Kentucky | $171.57 | -- | -- | 2026 |
| Minnesota | $67.64 | -- | -- | 2009 |
| Mississippi | $84.27 | -- | -- | 2026 |
| Montana | $167.31 | -- | -- | 2026 |
| Nebraska | $66.75 | -- | -- | 2026 |
| New Hampshire | $50.00 | -- | Not required | 2026 |
| New Mexico | $71.70 | -- | -- | 2025 |
| Oklahoma | $237.13 | -- | -- | 2026 |
| Rhode Island | $90.15 | -- | -- | 2026 |
| Texas | $183.95* | -- | -- | 2018 |
| Utah | $34.04* | -- | Not required | 2026 |
| Virginia | $67.64 | -- | -- | 2009 |
| Washington | $46.02 | -- | -- | 2026 |
| Wisconsin | $67.64 | -- | -- | 2009 |
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 J1595?
19 state Medicaid programs publish a fee-for-service rate for J1595 (injection, glatiramer acetate, 20 mg), ranging from $28.62 in District of Columbia to $237.13 in Oklahoma. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1595?
Oklahoma publishes the highest Medicaid rate for J1595 at $237.13. District of Columbia publishes the lowest at $28.62.
Does J1595 require prior authorization under Medicaid?
1 of the 19 publishing states flag J1595 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".