The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J2550. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
31
Median % of Medicare
--
Rate range
$1.81 - $7.80
J2550 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2.95 | -- | -- | 2026 |
| Arkansas | $5.44 | -- | -- | 2026 |
| Arizona | $3.64 | -- | -- | 2026 |
| California | $7.80 | -- | -- | 2026 |
| Connecticut | $3.97 | -- | -- | 2026 |
| District of Columbia | $3.97 | -- | Not required | 2026 |
| Iowa | $3.75 | -- | -- | 2024 |
| Idaho | $3.43 | -- | Not required | 2026 |
| Illinois | $3.25 | -- | -- | 2026 |
| Indiana | $1.81 | -- | -- | 2022 |
| Kansas | $3.64 | -- | -- | 2026 |
| Louisiana | $3.57 | -- | -- | 2026 |
| Maine | $3.64 | -- | -- | 2026 |
| Michigan | $3.64 | -- | -- | 2026 |
| Minnesota | $3.39 | -- | -- | 2025 |
| Mississippi | $3.34 | -- | -- | 2026 |
| Montana | $3.97 | -- | -- | 2026 |
| North Carolina | $3.64 | -- | -- | 2026 |
| Nebraska | $3.63 | -- | -- | 2026 |
| New Hampshire | $3.70 | -- | Not required | 2026 |
| New Jersey | $3.79 | -- | Not required | 2026 |
| New Mexico | $3.57 | -- | -- | 2025 |
| Oklahoma | $3.64 | -- | -- | 2026 |
| South Carolina | $3.78 | -- | -- | 2026 |
| Texas | $2.87* | -- | -- | 2026 |
| Utah | $3.64* | -- | Not required | 2026 |
| Virginia | $3.63 | -- | -- | 2026 |
| Vermont | $2.80 | -- | -- | 2026 |
| Washington | $3.64 | -- | -- | 2026 |
| Wisconsin | $3.64 | -- | -- | 2026 |
| Wyoming | $3.64 | -- | -- | 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.
Frequently asked questions
How much does Medicaid pay for J2550?
31 state Medicaid programs publish a fee-for-service rate for J2550 (injection, promethazine hcl, up to 50 mg), ranging from $1.81 in Indiana to $7.80 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for J2550?
California publishes the highest Medicaid rate for J2550 at $7.80. Indiana publishes the lowest at $1.81.
Does J2550 require prior authorization under Medicaid?
No publishing state flags J2550 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.