Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1630. 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
28
Median % of Medicare
--
Rate range
$0.63 - $6.78
J1630 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $0.80 | -- | -- | 2026 |
| Arkansas | $6.78 | -- | -- | 2026 |
| Arizona | $0.75 | -- | -- | 2026 |
| California | $5.25 | -- | -- | 2026 |
| Connecticut | $1.42 | -- | -- | 2024 |
| District of Columbia | $0.73 | -- | Not required | 2026 |
| Iowa | $3.04 | -- | -- | 2024 |
| Idaho | $0.63 | -- | Not required | 2026 |
| Illinois | $0.77 | -- | -- | 2026 |
| Indiana | $0.92 | -- | -- | 2022 |
| Maine | $0.75 | -- | -- | 2026 |
| Michigan | $0.75 | -- | -- | 2026 |
| Minnesota | $0.74 | -- | -- | 2026 |
| Mississippi | $0.79 | -- | -- | 2026 |
| Montana | $0.73 | -- | -- | 2026 |
| North Carolina | $0.75 | -- | -- | 2026 |
| Nebraska | $0.74 | -- | -- | 2026 |
| New Hampshire | $0.88 | -- | Not required | 2026 |
| New Jersey | $6.55 | -- | Not required | 2026 |
| New Mexico | $1.21 | -- | -- | 2025 |
| Oklahoma | $0.75 | -- | -- | 2026 |
| South Carolina | $0.77 | -- | -- | 2026 |
| Texas | $1.21* | -- | -- | 2025 |
| Virginia | $0.74 | -- | -- | 2026 |
| Vermont | $0.76 | -- | -- | 2026 |
| Washington | $0.75 | -- | -- | 2026 |
| Wisconsin | $0.75 | -- | -- | 2026 |
| Wyoming | $0.75 | -- | -- | 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 J1630?
28 state Medicaid programs publish a fee-for-service rate for J1630 (injection, haloperidol, up to 5 mg), ranging from $0.63 in Idaho to $6.78 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1630?
Arkansas publishes the highest Medicaid rate for J1630 at $6.78. Idaho publishes the lowest at $0.63.
Does J1630 require prior authorization under Medicaid?
No publishing state flags J1630 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.