The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J1885. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
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Publishing states
30
Median % of Medicare
--
Rate range
$0.27 - $9.74
J1885 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $0.30 | -- | -- | 2026 |
| Arkansas | $9.74 | -- | -- | 2026 |
| Arizona | $0.29 | -- | -- | 2026 |
| California | $4.80 | -- | -- | 2026 |
| Connecticut | $0.75 | -- | -- | 2025 |
| District of Columbia | $0.33 | -- | Not required | 2026 |
| Iowa | $1.50 | -- | -- | 2024 |
| Idaho | $0.29 | -- | Not required | 2026 |
| Illinois | $0.33 | -- | -- | 2026 |
| Indiana | $0.27 | -- | -- | 2016 |
| Kansas | $0.29 | -- | -- | 2026 |
| Kentucky | $0.33 | -- | -- | 2026 |
| Maine | $0.29 | -- | -- | 2026 |
| Michigan | $0.29 | -- | -- | 2026 |
| Minnesota | $0.28 | -- | -- | 2026 |
| Mississippi | $0.34 | -- | -- | 2026 |
| Montana | $0.33 | -- | -- | 2026 |
| North Carolina | $0.29 | -- | -- | 2026 |
| Nebraska | $0.28 | -- | -- | 2026 |
| New Hampshire | $0.70 | -- | Not required | 2026 |
| New Jersey | $3.05 | -- | Not required | 2026 |
| New Mexico | $0.75 | -- | -- | 2025 |
| Oklahoma | $0.29 | -- | -- | 2026 |
| South Carolina | $0.30 | -- | -- | 2026 |
| Texas | $0.35* | -- | -- | 2026 |
| Virginia | $0.28 | -- | -- | 2026 |
| Vermont | $0.29 | -- | -- | 2026 |
| Washington | $0.29 | -- | -- | 2026 |
| Wisconsin | $0.29 | -- | -- | 2026 |
| Wyoming | $0.29 | -- | -- | 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.
Frequently asked questions
How much does Medicaid pay for J1885?
30 state Medicaid programs publish a fee-for-service rate for J1885 (injection, ketorolac tromethamine, per 15 mg), ranging from $0.27 in Indiana to $9.74 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for J1885?
Arkansas publishes the highest Medicaid rate for J1885 at $9.74. Indiana publishes the lowest at $0.27.
Does J1885 require prior authorization under Medicaid?
No publishing state flags J1885 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.