Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J2426. 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
32
Median % of Medicare
--
Rate range
$6.21 - $19.54
J2426 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $15.11 | -- | -- | 2026 |
| Arkansas | $7.24 | -- | -- | 2026 |
| Arizona | $13.99 | -- | -- | 2026 |
| California | $19.54 | -- | -- | 2026 |
| Connecticut | $15.11 | -- | -- | 2026 |
| District of Columbia | $15.11 | -- | Required | 2026 |
| Iowa | $14.49 | -- | -- | 2024 |
| Idaho | $13.06 | -- | Not required | 2026 |
| Illinois | $14.67 | -- | -- | 2026 |
| Indiana | $16.40 | -- | -- | 2026 |
| Kansas | $15.43 | -- | -- | 2026 |
| Kentucky | $15.11 | -- | -- | 2026 |
| Maine | $15.43 | -- | -- | 2026 |
| Michigan | $15.43 | -- | -- | 2026 |
| Minnesota | $15.43 | -- | -- | 2026 |
| Mississippi | $15.08 | -- | -- | 2026 |
| Montana | $15.11 | -- | -- | 2026 |
| North Carolina | $6.21 | -- | -- | 2022 |
| Nebraska | $15.43 | -- | -- | 2026 |
| New Hampshire | $15.62 | -- | Not required | 2026 |
| New Jersey | $6.46 | -- | Not required | 2026 |
| New Mexico | $14.73 | -- | -- | 2025 |
| Oklahoma | $15.43 | -- | -- | 2026 |
| Rhode Island | $8.85 | -- | -- | 2026 |
| South Carolina | $15.43 | -- | -- | 2026 |
| Texas | $15.08* | -- | -- | 2026 |
| Utah | $15.43* | -- | Required | 2026 |
| Virginia | $15.43 | -- | -- | 2026 |
| Vermont | $14.35 | -- | -- | 2026 |
| Washington | $15.43 | -- | -- | 2026 |
| Wisconsin | $15.43 | -- | -- | 2026 |
| Wyoming | $13.28 | -- | -- | 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 157 codes from J2002 to J2998 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J2426?
32 state Medicaid programs publish a fee-for-service rate for J2426 (injection, paliperidone palmitate extended release (invega sustenna), 1 mg), ranging from $6.21 in North Carolina to $19.54 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for J2426?
California publishes the highest Medicaid rate for J2426 at $19.54. North Carolina publishes the lowest at $6.21.
Does J2426 require prior authorization under Medicaid?
2 of the 32 publishing states flag J2426 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".