Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J2680. 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
30
Median % of Medicare
--
Rate range
$4.38 - $24.51
J2680 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $6.71 | -- | -- | 2026 |
| Arkansas | $20.51 | -- | -- | 2026 |
| Arizona | $5.78 | -- | -- | 2026 |
| California | $10.05 | -- | -- | 2026 |
| Connecticut | $9.41 | -- | -- | 2025 |
| District of Columbia | $6.20 | -- | Not required | 2026 |
| Iowa | $24.51 | -- | -- | 2021 |
| Idaho | $5.36 | -- | Not required | 2026 |
| Illinois | $5.44 | -- | -- | 2026 |
| Indiana | $16.38 | -- | -- | 2018 |
| Kansas | $5.78 | -- | -- | 2026 |
| Maine | $5.78 | -- | -- | 2026 |
| Michigan | $5.78 | -- | -- | 2026 |
| Minnesota | $5.78 | -- | -- | 2026 |
| Mississippi | $5.59 | -- | -- | 2026 |
| Montana | $6.20 | -- | -- | 2026 |
| North Carolina | $5.78 | -- | -- | 2026 |
| Nebraska | $5.78 | -- | -- | 2026 |
| New Hampshire | $15.60 | -- | Not required | 2026 |
| New Jersey | $4.38 | -- | Not required | 2026 |
| New Mexico | $9.41 | -- | -- | 2025 |
| Oklahoma | $5.78 | -- | -- | 2026 |
| South Carolina | $6.00 | -- | -- | 2026 |
| Texas | $7.53* | -- | -- | 2026 |
| Utah | $5.78* | -- | Not required | 2026 |
| Virginia | $5.78 | -- | -- | 2026 |
| Vermont | $6.94 | -- | -- | 2026 |
| Washington | $5.78 | -- | -- | 2026 |
| Wisconsin | $5.78 | -- | -- | 2026 |
| Wyoming | $5.78 | -- | -- | 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 J2680?
30 state Medicaid programs publish a fee-for-service rate for J2680 (injection, fluphenazine decanoate, up to 25 mg), ranging from $4.38 in New Jersey to $24.51 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for J2680?
Iowa publishes the highest Medicaid rate for J2680 at $24.51. New Jersey publishes the lowest at $4.38.
Does J2680 require prior authorization under Medicaid?
No publishing state flags J2680 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.