Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J2004. 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
$0.01 - $0.48
J2004 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $0.07 | -- | -- | 2026 |
| Arkansas | $0.01 | -- | -- | 2026 |
| Arizona | $0.01 | -- | -- | 2026 |
| California | $0.03 | -- | -- | 2026 |
| Indiana | $0.01 | -- | -- | 2024 |
| Kansas | $0.01 | -- | -- | 2024 |
| Minnesota | $0.01 | -- | -- | 2024 |
| Nebraska | $0.01 | -- | -- | 2026 |
| New Hampshire | $0.28 | -- | Not required | 2026 |
| New Jersey | $0.02 | -- | Not required | 2026 |
| New Mexico | $0.05 | -- | -- | 2024 |
| Oklahoma | $0.02 | -- | -- | 2026 |
| South Carolina | $0.01 | -- | -- | 2024 |
| Washington | $0.01 | -- | -- | 2026 |
| Wisconsin | $0.48 | -- | -- | 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 157 codes from J2002 to J2998 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J2004?
15 state Medicaid programs publish a fee-for-service rate for J2004 (injection, lidocaine hcl with epinephrine, 1 mg), ranging from $0.01 in Washington to $0.48 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for J2004?
Wisconsin publishes the highest Medicaid rate for J2004 at $0.48. Washington publishes the lowest at $0.01.
Does J2004 require prior authorization under Medicaid?
No publishing state flags J2004 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.