Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J2428. 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
22
Median % of Medicare
--
Rate range
$13.22 - $18.98
J2428 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $18.98 | -- | -- | 2026 |
| Arizona | $16.29 | -- | -- | 2026 |
| California | $18.95 | -- | -- | 2026 |
| Connecticut | $15.30 | -- | -- | 2026 |
| District of Columbia | $15.30 | -- | Required | 2026 |
| Idaho | $13.22 | -- | Not required | 2026 |
| Illinois | $14.10 | -- | -- | 2026 |
| Indiana | $18.01 | -- | Required | 2026 |
| Michigan | $15.87 | -- | -- | 2026 |
| Minnesota | $15.87 | -- | Required | 2026 |
| Mississippi | $14.49 | -- | -- | 2026 |
| Montana | $15.30 | -- | -- | 2026 |
| Nebraska | $15.87 | -- | -- | 2026 |
| New Hampshire | $17.15 | -- | Not required | 2026 |
| New Jersey | $16.48 | -- | Not required | 2026 |
| Oklahoma | $15.87 | -- | -- | 2026 |
| Rhode Island | $17.31 | -- | -- | 2026 |
| South Carolina | $15.87 | -- | -- | 2026 |
| Texas | $16.98* | -- | -- | 2026 |
| Utah | $15.87* | -- | Required | 2026 |
| Vermont | $15.92 | -- | Required | 2026 |
| Wisconsin | $15.87 | -- | -- | 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
- 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 J2428?
22 state Medicaid programs publish a fee-for-service rate for J2428 (injection, paliperidone palmitate extended release (erzofri), 1 mg), ranging from $13.22 in Idaho to $18.98 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for J2428?
Arkansas publishes the highest Medicaid rate for J2428 at $18.98. Idaho publishes the lowest at $13.22.
Does J2428 require prior authorization under Medicaid?
5 of the 22 publishing states flag J2428 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".