Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J2468. 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
27
Median % of Medicare
--
Rate range
$50.61 - $64.92
J2468 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $58.24 | -- | -- | 2026 |
| Arkansas | $55.29 | -- | -- | 2026 |
| Arizona | $56.75 | -- | -- | 2026 |
| California | $55.29 | -- | -- | 2026 |
| Connecticut | $58.58 | -- | -- | 2026 |
| District of Columbia | $58.58 | -- | Not required | 2026 |
| Idaho | $50.61 | -- | Not required | 2026 |
| Illinois | $53.80 | -- | -- | 2026 |
| Indiana | $64.92 | -- | -- | 2026 |
| Kansas | $55.23 | -- | -- | 2026 |
| Kentucky | $58.58 | -- | -- | 2026 |
| Louisiana | $58.00 | -- | -- | 2026 |
| Maine | $55.23 | -- | -- | 2026 |
| Michigan | $55.23 | -- | -- | 2026 |
| Minnesota | $55.23 | -- | -- | 2026 |
| Mississippi | $58.58 | -- | -- | 2026 |
| Montana | $58.58 | -- | -- | 2026 |
| Nebraska | $55.23 | -- | -- | 2026 |
| New Hampshire | $61.83 | -- | Not required | 2026 |
| New Jersey | $57.42 | -- | Not required | 2026 |
| Oklahoma | $55.23 | -- | -- | 2026 |
| South Carolina | $55.23 | -- | -- | 2026 |
| Texas | $58.84* | -- | -- | 2026 |
| Utah | $55.23* | -- | Not required | 2026 |
| Virginia | $55.23 | -- | -- | 2026 |
| Vermont | $55.33 | -- | Required | 2026 |
| Wisconsin | $55.23 | -- | -- | 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 J2468?
27 state Medicaid programs publish a fee-for-service rate for J2468 (injection, palonosetron hydrochloride (posfrea), 25 micrograms), ranging from $50.61 in Idaho to $64.92 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J2468?
Indiana publishes the highest Medicaid rate for J2468 at $64.92. Idaho publishes the lowest at $50.61.
Does J2468 require prior authorization under Medicaid?
1 of the 27 publishing states flag J2468 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".