Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J7168. 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
25
Median % of Medicare
--
Rate range
$0.01 - $7.44
J7168 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2.98 | -- | -- | 2026 |
| Arkansas | $2.10 | -- | -- | 2026 |
| Arizona | $2.10 | -- | -- | 2026 |
| California | $7.44 | -- | -- | 2026 |
| District of Columbia | $2.72 | -- | Not required | 2021 |
| Iowa | $3.02 | -- | -- | 2024 |
| Illinois | $2.38 | -- | -- | 2026 |
| Kansas | $2.98 | -- | -- | 2023 |
| Kentucky | $2.09 | -- | -- | 2026 |
| Louisiana | $2.98 | -- | -- | 2026 |
| Michigan | $1.05 | -- | -- | 2026 |
| Minnesota | $2.98 | -- | -- | 2026 |
| Mississippi | $2.09 | -- | -- | 2026 |
| Montana | $2.05 | -- | -- | 2026 |
| Nebraska | $3.18 | -- | -- | 2026 |
| New Hampshire | $2.98 | -- | Not required | 2026 |
| New Jersey | $2.59 | -- | Not required | 2026 |
| New Mexico | $2.36 | -- | -- | 2025 |
| Oklahoma | $2.62 | -- | -- | 2026 |
| Rhode Island | $2.05 | -- | -- | 2026 |
| South Carolina | $2.94 | -- | -- | 2023 |
| Texas | $3.04* | -- | -- | 2024 |
| Utah | $2.98* | -- | Not required | 2024 |
| Washington | $2.98 | -- | -- | 2026 |
| Wisconsin | $0.01 | -- | -- | 2021 |
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 137 codes from J7030 to J7686 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J7168?
25 state Medicaid programs publish a fee-for-service rate for J7168 (prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity), ranging from $0.01 in Wisconsin to $7.44 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for J7168?
California publishes the highest Medicaid rate for J7168 at $7.44. Wisconsin publishes the lowest at $0.01.
Does J7168 require prior authorization under Medicaid?
No publishing state flags J7168 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.