J2373 Medicaid Rate by State

Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms

22 state Medicaid programs publish a fee-for-service rate for J2373 (injection, phenylephrine hydrochloride (immphentiv), 20 micrograms), ranging from $0.12 in Wisconsin to $0.21 in Connecticut.

Every state, kept current

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This page shows one representative rate per state for J2373. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

22

Median % of Medicare

--

Rate range

$0.12 - $0.21

J2373 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$0.14----2026
Arizona$0.13----2026
California$0.13----2026
Connecticut$0.21----2024
District of Columbia$0.14--Not required2025
Idaho$0.12--Not required2025
Indiana$0.21----2024
Kentucky$0.14----2026
Michigan$0.12----2026
Minnesota$0.12----2026
Mississippi$0.13----2026
Montana$0.14----2026
Nebraska$0.12----2026
New Hampshire$0.20--Not required2026
New Jersey$0.20--Not required2026
New Mexico$0.14----2025
Oklahoma$0.12----2026
Texas$0.13*----2026
Virginia$0.12----2026
Vermont$0.13--Required2026
Washington$0.12----2026
Wisconsin$0.12----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.

Related drugs codes

All 157 codes from J2002 to J2998 or every drugs code by number.

Frequently asked questions

How much does Medicaid pay for J2373?

22 state Medicaid programs publish a fee-for-service rate for J2373 (injection, phenylephrine hydrochloride (immphentiv), 20 micrograms), ranging from $0.12 in Wisconsin to $0.21 in Connecticut. The full table on this page lists every publishing state's current rate.

Which state pays the most for J2373?

Connecticut publishes the highest Medicaid rate for J2373 at $0.21. Wisconsin publishes the lowest at $0.12.

Does J2373 require prior authorization under Medicaid?

1 of the 22 publishing states flag J2373 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".