Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J2545. 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
28
Median % of Medicare
--
Rate range
$66.24 - $107.39
J2545 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $69.73 | -- | -- | 2026 |
| Arizona | $73.00 | -- | -- | 2026 |
| Connecticut | $99.77 | -- | -- | 2024 |
| District of Columbia | $79.39 | -- | Not required | 2025 |
| Iowa | $94.95 | -- | -- | 2024 |
| Idaho | $107.39 | -- | Not required | 2026 |
| Illinois | $71.58 | -- | -- | 2026 |
| Indiana | $94.50 | -- | -- | 2023 |
| Kansas | $73.00 | -- | -- | 2026 |
| Massachusetts | $72.94 | -- | -- | 2026 |
| Maine | $73.00 | -- | -- | 2026 |
| Michigan | $73.00 | -- | -- | 2026 |
| Minnesota | $72.99 | -- | -- | 2026 |
| Mississippi | $73.57 | -- | -- | 2026 |
| Montana | $69.73 | -- | -- | 2026 |
| North Carolina | $73.00 | -- | -- | 2026 |
| Nebraska | $72.99 | -- | -- | 2026 |
| New Hampshire | $90.00 | -- | Not required | 2026 |
| New Jersey | $86.41 | -- | Not required | 2026 |
| New Mexico | $79.39 | -- | -- | 2025 |
| Oklahoma | $73.00 | -- | -- | 2026 |
| South Carolina | $75.75 | -- | -- | 2026 |
| Texas | $82.37* | -- | -- | 2026 |
| Virginia | $72.99 | -- | -- | 2026 |
| Vermont | $66.24 | -- | -- | 2026 |
| Washington | $73.00 | -- | -- | 2026 |
| Wisconsin | $73.00 | -- | -- | 2026 |
| Wyoming | $73.00 | -- | -- | 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 J2545?
28 state Medicaid programs publish a fee-for-service rate for J2545 (pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg), ranging from $66.24 in Vermont to $107.39 in Idaho. The full table on this page lists every publishing state's current rate.
Which state pays the most for J2545?
Idaho publishes the highest Medicaid rate for J2545 at $107.39. Vermont publishes the lowest at $66.24.
Does J2545 require prior authorization under Medicaid?
No publishing state flags J2545 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.