Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J7195. 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
27
Median % of Medicare
--
Rate range
$0.91 - $1.88
J7195 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $0.95 | -- | -- | 2026 |
| Arizona | $1.75 | -- | -- | 2026 |
| Connecticut | $1.84 | -- | -- | 2025 |
| District of Columbia | $1.83 | -- | Not required | 2026 |
| Idaho | $1.58 | -- | Not required | 2026 |
| Illinois | $1.79 | -- | -- | 2026 |
| Kansas | $1.86 | -- | -- | 2026 |
| Kentucky | $1.83 | -- | -- | 2026 |
| Maine | $1.86 | -- | -- | 2026 |
| Michigan | $1.86 | -- | -- | 2026 |
| Minnesota | $1.73 | -- | -- | 2026 |
| Mississippi | $1.83 | -- | -- | 2026 |
| Montana | $1.83 | -- | -- | 2026 |
| North Carolina | $1.65 | -- | -- | 2025 |
| Nebraska | $1.86 | -- | -- | 2026 |
| New Hampshire | $1.78 | -- | Not required | 2026 |
| New Jersey | $0.91 | -- | Not required | 2026 |
| New Mexico | $1.84 | -- | -- | 2025 |
| Oklahoma | $1.86 | -- | -- | 2026 |
| Rhode Island | $1.44 | -- | -- | 2026 |
| Texas | $1.88* | -- | -- | 2026 |
| Utah | $1.86* | -- | Not required | 2026 |
| Virginia | $1.86 | -- | -- | 2026 |
| Vermont | $1.76 | -- | -- | 2026 |
| Washington | $1.62 | -- | -- | 2026 |
| Wisconsin | $1.86 | -- | -- | 2026 |
| Wyoming | $1.86 | -- | -- | 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 137 codes from J7030 to J7686 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J7195?
27 state Medicaid programs publish a fee-for-service rate for J7195 (injection, factor ix (antihemophilic factor, recombinant) per iu, not otherwise specified), ranging from $0.91 in New Jersey to $1.88 in Texas. The full table on this page lists every publishing state's current rate.
Which state pays the most for J7195?
Texas publishes the highest Medicaid rate for J7195 at $1.88. New Jersey publishes the lowest at $0.91.
Does J7195 require prior authorization under Medicaid?
No publishing state flags J7195 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.