Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J2789. 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
13
Median % of Medicare
--
Rate range
$21,143.58 - $78,500.00
J2789 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $29,309.94 | -- | -- | 2026 |
| California | $78,500.00 | -- | -- | 2026 |
| Kansas | $39,250.00 | -- | -- | 2026 |
| Michigan | $21,143.58 | -- | -- | 2026 |
| Minnesota | $78,500.00 | -- | Required | 2026 |
| Mississippi | $78,500.00 | -- | -- | 2026 |
| Montana | $40,427.50 | -- | -- | 2026 |
| New Hampshire | $78,500.00 | -- | Not required | 2026 |
| Oklahoma | $39,250.00 | -- | -- | 2026 |
| South Carolina | $77,244.00 | -- | -- | 2026 |
| Utah | $78,500.00* | -- | Required | 2026 |
| Washington | $39,250.00 | -- | -- | 2026 |
| Wisconsin | $78,500.00 | -- | -- | 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 J2789?
13 state Medicaid programs publish a fee-for-service rate for J2789 (riboflavin 5'-phosphate, ophthalmic solution (epioxahd/epioxa), up to 2 ml), ranging from $21,143.58 in Michigan to $78,500.00 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for J2789?
California publishes the highest Medicaid rate for J2789 at $78,500.00. Michigan publishes the lowest at $21,143.58.
Does J2789 require prior authorization under Medicaid?
2 of the 13 publishing states flag J2789 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".