Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J3404. 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
13
Median % of Medicare
--
Rate range
$57,504.46 - $460,000.00
J3404 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $131,100.00 | -- | -- | 2026 |
| Arizona | $115,000.00 | -- | -- | 2026 |
| California | $57,504.46 | -- | -- | 2026 |
| District of Columbia | $460,000.00 | -- | Required | 2026 |
| Illinois | $106,971.62 | -- | -- | 2026 |
| Indiana | $120,750.00 | -- | Required | 2026 |
| Kansas | $115,000.00 | -- | -- | 2026 |
| Michigan | $63,753.70 | -- | -- | 2026 |
| Minnesota | $115,000.00 | -- | Required | 2026 |
| Mississippi | $121,900.00 | -- | -- | 2026 |
| New Hampshire | $115,000.00 | -- | Required | 2026 |
| Utah | $115,000.00* | -- | Required | 2026 |
| Wisconsin | $155,000.00 | -- | -- | 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 J3404?
13 state Medicaid programs publish a fee-for-service rate for J3404 (injection, zopapogene imadenovec-drba suspension, per therapeutic dose), ranging from $57,504.46 in California to $460,000.00 in District of Columbia. The full table on this page lists every publishing state's current rate.
Which state pays the most for J3404?
District of Columbia publishes the highest Medicaid rate for J3404 at $460,000.00. California publishes the lowest at $57,504.46.
Does J3404 require prior authorization under Medicaid?
5 of the 13 publishing states flag J3404 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".