Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J2860. 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
31
Median % of Medicare
--
Rate range
$8.46 - $174.08
J2860 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $165.83 | -- | -- | 2026 |
| Arkansas | $97.81 | -- | -- | 2026 |
| Arizona | $148.17 | -- | -- | 2026 |
| California | $174.08 | -- | -- | 2026 |
| Connecticut | $168.68 | -- | -- | 2026 |
| District of Columbia | $168.68 | -- | Required | 2026 |
| Iowa | $148.06 | -- | -- | 2024 |
| Idaho | $145.74 | -- | Required | 2026 |
| Illinois | $169.37 | -- | -- | 2026 |
| Indiana | $172.43 | -- | -- | 2026 |
| Kansas | $174.07 | -- | -- | 2026 |
| Kentucky | $168.68 | -- | -- | 2026 |
| Maine | $174.07 | -- | -- | 2026 |
| Michigan | $174.07 | -- | -- | 2026 |
| Minnesota | $82.96 | -- | -- | 2026 |
| Mississippi | $168.68 | -- | -- | 2026 |
| Montana | $174.08 | -- | -- | 2026 |
| North Carolina | $8.46* | -- | -- | 2025 |
| Nebraska | $174.06 | -- | -- | 2026 |
| New Hampshire | $168.33 | -- | Not required | 2026 |
| New Jersey | $84.94 | -- | Not required | 2026 |
| New Mexico | $155.97 | -- | -- | 2025 |
| Oklahoma | $174.07 | -- | -- | 2026 |
| South Carolina | $170.42 | -- | -- | 2026 |
| Texas | $161.96* | -- | -- | 2026 |
| Utah | $174.07* | -- | Required | 2026 |
| Virginia | $174.06 | -- | -- | 2026 |
| Vermont | $157.54 | -- | Required | 2026 |
| Washington | $174.07 | -- | -- | 2026 |
| Wisconsin | $174.07 | -- | -- | 2026 |
| Wyoming | $132.00 | -- | -- | 2022 |
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 J2860?
31 state Medicaid programs publish a fee-for-service rate for J2860 (injection, siltuximab, 10 mg), ranging from $8.46 in North Carolina to $174.08 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for J2860?
California publishes the highest Medicaid rate for J2860 at $174.08. North Carolina publishes the lowest at $8.46.
Does J2860 require prior authorization under Medicaid?
4 of the 31 publishing states flag J2860 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".