Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1631. 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
30
Median % of Medicare
--
Rate range
$2.97 - $29.55
J1631 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $4.40 | -- | -- | 2026 |
| Arkansas | $29.55 | -- | -- | 2026 |
| Arizona | $5.29 | -- | -- | 2026 |
| California | $10.53 | -- | -- | 2026 |
| Connecticut | $8.78 | -- | -- | 2024 |
| District of Columbia | $3.94 | -- | Not required | 2026 |
| Iowa | $22.52 | -- | -- | 2024 |
| Idaho | $3.41 | -- | Not required | 2026 |
| Illinois | $5.91 | -- | -- | 2026 |
| Indiana | $14.18 | -- | -- | 2022 |
| Kansas | $5.29 | -- | -- | 2026 |
| Maine | $5.29 | -- | -- | 2026 |
| Michigan | $5.29 | -- | -- | 2026 |
| Minnesota | $5.29 | -- | -- | 2026 |
| Mississippi | $6.07 | -- | -- | 2026 |
| Montana | $3.94 | -- | -- | 2026 |
| North Carolina | $5.29 | -- | -- | 2026 |
| Nebraska | $5.29 | -- | -- | 2026 |
| New Hampshire | $18.43 | -- | Not required | 2026 |
| New Jersey | $2.97 | -- | Not required | 2026 |
| New Mexico | $5.55 | -- | -- | 2025 |
| Oklahoma | $5.29 | -- | -- | 2026 |
| South Carolina | $5.49 | -- | -- | 2026 |
| Texas | $4.68* | -- | -- | 2026 |
| Utah | $5.29* | -- | Not required | 2026 |
| Virginia | $5.29 | -- | -- | 2026 |
| Vermont | $4.18 | -- | -- | 2026 |
| Washington | $5.29 | -- | -- | 2026 |
| Wisconsin | $5.29 | -- | -- | 2026 |
| Wyoming | $5.29 | -- | -- | 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 J1631?
30 state Medicaid programs publish a fee-for-service rate for J1631 (injection, haloperidol decanoate, per 50 mg), ranging from $2.97 in New Jersey to $29.55 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1631?
Arkansas publishes the highest Medicaid rate for J1631 at $29.55. New Jersey publishes the lowest at $2.97.
Does J1631 require prior authorization under Medicaid?
No publishing state flags J1631 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.