Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J3031. 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
22
Median % of Medicare
--
Rate range
$1.70 - $7.84
J3031 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $3.36 | -- | -- | 2026 |
| Arizona | $3.52 | -- | -- | 2026 |
| California | $7.84 | -- | -- | 2026 |
| District of Columbia | $1.70 | -- | Required | 2020 |
| Iowa | $3.14 | -- | -- | 2024 |
| Idaho | $2.16 | -- | Required | 2025 |
| Illinois | $3.28 | -- | -- | 2026 |
| Indiana | $3.70 | -- | -- | 2026 |
| Kansas | $3.52 | -- | -- | 2026 |
| Michigan | $3.56 | -- | -- | 2026 |
| Minnesota | $3.53 | -- | Required | 2024 |
| Mississippi | $3.34 | -- | -- | 2026 |
| Nebraska | $3.76 | -- | -- | 2026 |
| New Hampshire | $3.52 | -- | Not required | 2026 |
| New Jersey | $2.53 | -- | Not required | 2026 |
| New Mexico | $2.88 | -- | -- | 2025 |
| Oklahoma | $2.47 | -- | -- | 2026 |
| Rhode Island | $3.18 | -- | -- | 2026 |
| South Carolina | $3.47 | -- | -- | 2026 |
| Texas | $3.42* | -- | -- | 2026 |
| Utah | $3.39* | -- | Required | 2026 |
| Wisconsin | $2.55 | -- | -- | 2019 |
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 74 codes from J3000 to J3489 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J3031?
22 state Medicaid programs publish a fee-for-service rate for J3031 (injection, fremanezumab-vfrm, 1 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)), ranging from $1.70 in District of Columbia to $7.84 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for J3031?
California publishes the highest Medicaid rate for J3031 at $7.84. District of Columbia publishes the lowest at $1.70.
Does J3031 require prior authorization under Medicaid?
4 of the 22 publishing states flag J3031 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".