Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J7191. 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
12
Median % of Medicare
--
Rate range
$1.68 - $5.46
J7191 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $5.19* | -- | -- | 2026 |
| Kansas | $1.93 | -- | -- | 2005 |
| Kentucky | $5.46 | -- | -- | 2026 |
| Maine | $5.46 | -- | -- | 2026 |
| Michigan | $2.86 | -- | -- | 2026 |
| Montana | $5.46 | -- | -- | 2026 |
| New Hampshire | $2.95 | -- | Not required | 2026 |
| New Jersey | $1.93 | -- | Not required | 2026 |
| New Mexico | $1.68 | -- | -- | 2025 |
| Rhode Island | $2.63 | -- | -- | 2026 |
| Virginia | $1.86 | -- | -- | 2005 |
| Wisconsin | $1.86 | -- | -- | 2005 |
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 J7191?
12 state Medicaid programs publish a fee-for-service rate for J7191 (factor viii (antihemophilic factor (porcine)), per i.u.), ranging from $1.68 in New Mexico to $5.46 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for J7191?
Kentucky publishes the highest Medicaid rate for J7191 at $5.46. New Mexico publishes the lowest at $1.68.
Does J7191 require prior authorization under Medicaid?
No publishing state flags J7191 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.