Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J3245. 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
28
Median % of Medicare
--
Rate range
$106.95 - $188.60
J3245 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $127.45 | -- | -- | 2026 |
| Arkansas | $151.12 | -- | -- | 2026 |
| Arizona | $126.52 | -- | -- | 2026 |
| California | $122.66 | -- | -- | 2026 |
| Connecticut | $140.66 | -- | -- | 2024 |
| District of Columbia | $123.79 | -- | Required | 2026 |
| Iowa | $166.27 | -- | -- | 2024 |
| Idaho | $106.95 | -- | Required | 2026 |
| Illinois | $115.01 | -- | -- | 2026 |
| Indiana | $188.60 | -- | Required | 2025 |
| Kansas | $124.27 | -- | -- | 2026 |
| Kentucky | $123.79 | -- | -- | 2026 |
| Michigan | $124.27 | -- | -- | 2026 |
| Minnesota | $124.27 | -- | Required | 2026 |
| Mississippi | $118.20 | -- | -- | 2026 |
| Montana | $123.79 | -- | Required | 2026 |
| Nebraska | $124.27 | -- | -- | 2026 |
| New Hampshire | $179.61 | -- | Not required | 2026 |
| New Jersey | $131.23 | -- | Not required | 2026 |
| New Mexico | $133.18 | -- | -- | 2025 |
| Oklahoma | $124.27 | -- | -- | 2026 |
| South Carolina | $124.27 | -- | -- | 2026 |
| Texas | $126.24* | -- | -- | 2026 |
| Utah | $124.27* | -- | Required | 2026 |
| Virginia | $124.27 | -- | -- | 2026 |
| Vermont | $121.08 | -- | Required | 2026 |
| Wisconsin | $124.27 | -- | -- | 2026 |
| Wyoming | $139.28 | -- | -- | 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 74 codes from J3000 to J3489 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J3245?
28 state Medicaid programs publish a fee-for-service rate for J3245 (injection, tildrakizumab, 1 mg), ranging from $106.95 in Idaho to $188.60 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J3245?
Indiana publishes the highest Medicaid rate for J3245 at $188.60. Idaho publishes the lowest at $106.95.
Does J3245 require prior authorization under Medicaid?
7 of the 28 publishing states flag J3245 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".