Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1817. 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
20
Median % of Medicare
--
Rate range
$1.31 - $8.47
J1817 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $3.06 | -- | -- | 2026 |
| Idaho | $2.76 | -- | Not required | 2026 |
| Illinois | $3.04 | -- | -- | 2026 |
| Indiana | $1.31 | -- | -- | 2024 |
| Louisiana | $2.38 | -- | -- | 2026 |
| Maine | $3.06 | -- | -- | 2026 |
| Mississippi | $3.13 | -- | -- | 2026 |
| Montana | $3.20 | -- | -- | 2026 |
| Nebraska | $3.06 | -- | -- | 2026 |
| New Hampshire | $3.32 | -- | Not required | 2026 |
| New Jersey | $4.50 | -- | Not required | 2026 |
| New Mexico | $2.38 | -- | -- | 2025 |
| Oklahoma | $3.06 | -- | -- | 2026 |
| South Carolina | $3.18 | -- | -- | 2026 |
| Utah | $3.06* | -- | Not required | 2026 |
| Virginia | $3.06 | -- | -- | 2026 |
| Vermont | $3.03 | -- | -- | 2026 |
| Washington | $3.06 | -- | -- | 2026 |
| Wisconsin | $3.06 | -- | -- | 2026 |
| Wyoming | $8.47 | -- | -- | 2022 |
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 J1817?
20 state Medicaid programs publish a fee-for-service rate for J1817 (insulin for administration through dme (i.e., insulin pump) per 50 units), ranging from $1.31 in Indiana to $8.47 in Wyoming. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1817?
Wyoming publishes the highest Medicaid rate for J1817 at $8.47. Indiana publishes the lowest at $1.31.
Does J1817 require prior authorization under Medicaid?
No publishing state flags J1817 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.