Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J2355. 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
17
Median % of Medicare
--
Rate range
$1.34 - $528.92
J2355 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $239.67 | -- | -- | 2026 |
| District of Columbia | $373.77 | -- | Not required | 2017 |
| Iowa | $255.67 | -- | -- | 2020 |
| Idaho | $403.67 | -- | Not required | 2025 |
| Kansas | $426.92 | -- | -- | 2018 |
| Maine | $1.34 | -- | -- | 2026 |
| Michigan | $426.92 | -- | -- | 2026 |
| New Jersey | $267.75 | -- | Not required | 2026 |
| New Mexico | $452.53 | -- | -- | 2025 |
| Rhode Island | $328.90 | -- | -- | 2026 |
| South Carolina | $287.11 | -- | -- | 2017 |
| Texas | $528.92* | -- | -- | 2019 |
| Utah | $109.96* | -- | Not required | 2022 |
| Virginia | $426.91 | -- | -- | 2018 |
| Washington | $426.92 | -- | -- | 2026 |
| Wisconsin | $426.92 | -- | -- | 2018 |
| Wyoming | $426.92 | -- | -- | 2018 |
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 J2355?
17 state Medicaid programs publish a fee-for-service rate for J2355 (injection, oprelvekin, 5 mg), ranging from $1.34 in Maine to $528.92 in Texas. The full table on this page lists every publishing state's current rate.
Which state pays the most for J2355?
Texas publishes the highest Medicaid rate for J2355 at $528.92. Maine publishes the lowest at $1.34.
Does J2355 require prior authorization under Medicaid?
No publishing state flags J2355 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.