Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J3399. 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
$29/mo after the trial. Cancel anytime.
Publishing states
10
Median % of Medicare
--
Rate range
$27,164.51 - $2,715,961.19
J3399 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $2,715,961.19 | -- | -- | 2026 |
| Illinois | $2,406,051.91 | -- | -- | 2026 |
| Indiana | $2,715,961.19 | -- | Required | 2026 |
| Michigan | $1,401,659.55 | -- | -- | 2026 |
| Minnesota | $2,391,705.69 | -- | Required | 2025 |
| Mississippi | $2,587,087.26 | -- | -- | 2026 |
| New Mexico | $2,387,637.59 | -- | -- | 2025 |
| Oklahoma | $2,125,000.00 | -- | -- | 2026 |
| South Carolina | $27,164.51 | -- | -- | 2026 |
| Texas | $2,439,539.81* | -- | -- | 2025 |
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 J3399?
10 state Medicaid programs publish a fee-for-service rate for J3399 (injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes), ranging from $27,164.51 in South Carolina to $2,715,961.19 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for J3399?
Arizona publishes the highest Medicaid rate for J3399 at $2,715,961.19. South Carolina publishes the lowest at $27,164.51.
Does J3399 require prior authorization under Medicaid?
2 of the 10 publishing states flag J3399 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".