J2472 Medicaid Rate by State

Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg

17 state Medicaid programs publish a fee-for-service rate for J2472 (injection, pantoprazole sodium in sodium chloride (baxter), 40 mg), ranging from $0.18 in New Mexico to $10.05 in Arkansas.

Every state, kept current

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This page shows one representative rate per state for J2472. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

17

Median % of Medicare

--

Rate range

$0.18 - $10.05

J2472 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$8.82----2026
Arkansas$10.05----2026
Arizona$8.82----2026
California$6.30----2026
Illinois$7.08----2026
Indiana$6.62--Required2025
Michigan$9.35----2026
Minnesota$8.82----2025
Mississippi$7.98----2025
Nebraska$9.42----2026
New Hampshire$8.82--Not required2026
New Jersey$7.90--Not required2026
New Mexico$0.18----2025
Oklahoma$6.30----2026
Texas$8.99*----2026
Utah$6.30*--Not required2026
Wisconsin$0.22----2025

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 J2472?

17 state Medicaid programs publish a fee-for-service rate for J2472 (injection, pantoprazole sodium in sodium chloride (baxter), 40 mg), ranging from $0.18 in New Mexico to $10.05 in Arkansas. The full table on this page lists every publishing state's current rate.

Which state pays the most for J2472?

Arkansas publishes the highest Medicaid rate for J2472 at $10.05. New Mexico publishes the lowest at $0.18.

Does J2472 require prior authorization under Medicaid?

1 of the 17 publishing states flag J2472 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".