Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1738. 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
$29/mo after the trial. Cancel anytime.
Publishing states
15
Median % of Medicare
--
Rate range
$1.00 - $7.59
J1738 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $1.00 | -- | -- | 2026 |
| Arkansas | $3.57 | -- | -- | 2026 |
| Arizona | $3.13 | -- | -- | 2026 |
| California | $7.59 | -- | -- | 2026 |
| District of Columbia | $2.41 | -- | Not required | 2023 |
| Idaho | $2.60 | -- | Not required | 2025 |
| Indiana | $3.29 | -- | -- | 2020 |
| Kansas | $1.00 | -- | -- | 2026 |
| Michigan | $3.32 | -- | -- | 2026 |
| Montana | $3.55 | -- | -- | 2026 |
| Nebraska | $3.34 | -- | -- | 2026 |
| New Jersey | $3.10 | -- | Not required | 2026 |
| New Mexico | $3.36 | -- | -- | 2025 |
| Rhode Island | $3.45 | -- | -- | 2026 |
| South Carolina | $3.08 | -- | -- | 2024 |
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 J1738?
15 state Medicaid programs publish a fee-for-service rate for J1738 (injection, meloxicam, 1 mg), ranging from $1.00 in Kansas to $7.59 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1738?
California publishes the highest Medicaid rate for J1738 at $7.59. Kansas publishes the lowest at $1.00.
Does J1738 require prior authorization under Medicaid?
No publishing state flags J1738 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.