Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J3396. 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
$8.99 - $12.48
J3396 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $8.99 | -- | -- | 2026 |
| Arizona | $10.93 | -- | -- | 2026 |
| California | $11.57 | -- | -- | 2026 |
| Connecticut | $11.56 | -- | -- | 2026 |
| District of Columbia | $11.56 | -- | Required | 2026 |
| Iowa | $11.55 | -- | -- | 2021 |
| Idaho | $9.98 | -- | Required | 2026 |
| Illinois | $11.26 | -- | -- | 2026 |
| Indiana | $11.97 | -- | -- | 2020 |
| Kansas | $11.37 | -- | -- | 2026 |
| Kentucky | $11.56 | -- | -- | 2026 |
| Maine | $11.37 | -- | -- | 2026 |
| Michigan | $11.37 | -- | -- | 2026 |
| Minnesota | $10.74 | -- | -- | 2026 |
| Mississippi | $11.57 | -- | -- | 2026 |
| Montana | $11.56 | -- | -- | 2026 |
| North Carolina | $11.37 | -- | -- | 2026 |
| Nebraska | $11.37 | -- | -- | 2026 |
| New Hampshire | $11.39 | -- | Not required | 2026 |
| New Jersey | $10.14 | -- | Not required | 2026 |
| New Mexico | $11.50 | -- | -- | 2025 |
| Oklahoma | $11.37 | -- | -- | 2026 |
| Rhode Island | $12.48 | -- | -- | 2026 |
| South Carolina | $11.37 | -- | -- | 2026 |
| Texas | $11.55* | -- | -- | 2026 |
| Utah | $11.37* | -- | Not required | 2026 |
| Virginia | $11.37 | -- | -- | 2026 |
| Vermont | $10.96 | -- | -- | 2026 |
| Washington | $11.37 | -- | -- | 2026 |
| Wisconsin | $11.37 | -- | -- | 2026 |
| Wyoming | $11.37 | -- | -- | 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 74 codes from J3000 to J3489 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J3396?
31 state Medicaid programs publish a fee-for-service rate for J3396 (injection, verteporfin, 0.1 mg), ranging from $8.99 in Arkansas to $12.48 in Rhode Island. The full table on this page lists every publishing state's current rate.
Which state pays the most for J3396?
Rhode Island publishes the highest Medicaid rate for J3396 at $12.48. Arkansas publishes the lowest at $8.99.
Does J3396 require prior authorization under Medicaid?
2 of the 31 publishing states flag J3396 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".