Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J7311. 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
30
Median % of Medicare
--
Rate range
$177.19 - $338.94
J7311 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $323.30* | -- | -- | 2026 |
| Arizona | $316.57 | -- | -- | 2026 |
| California | $338.79 | -- | -- | 2026 |
| Connecticut | $338.94 | -- | -- | 2026 |
| District of Columbia | $338.94 | -- | Required | 2026 |
| Iowa | $326.59 | -- | -- | 2021 |
| Idaho | $292.84 | -- | Not required | 2026 |
| Illinois | $329.64 | -- | -- | 2026 |
| Indiana | $338.58 | -- | Required | 2019 |
| Kansas | $338.80 | -- | -- | 2026 |
| Kentucky | $338.94 | -- | -- | 2026 |
| Maine | $338.80 | -- | -- | 2026 |
| Michigan | $177.19 | -- | -- | 2026 |
| Minnesota | $338.80 | -- | -- | 2026 |
| Mississippi | $338.94 | -- | -- | 2026 |
| Montana | $338.94 | -- | Required | 2026 |
| Nebraska | $338.80 | -- | -- | 2026 |
| New Hampshire | $322.46 | -- | Not required | 2026 |
| New Jersey | $319.23 | -- | Not required | 2026 |
| New Mexico | $333.23 | -- | -- | 2025 |
| Oklahoma | $338.80 | -- | -- | 2026 |
| Rhode Island | $337.81 | -- | -- | 2026 |
| South Carolina | $338.80 | -- | -- | 2026 |
| Texas | $328.91* | -- | -- | 2025 |
| Utah | $338.80* | -- | Required | 2026 |
| Virginia | $338.80* | -- | -- | 2026 |
| Vermont | $323.29 | -- | -- | 2026 |
| Washington | $338.80 | -- | -- | 2026 |
| Wisconsin | $338.80 | -- | -- | 2026 |
| Wyoming | $338.80 | -- | -- | 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 J7311?
30 state Medicaid programs publish a fee-for-service rate for J7311 (injection, fluocinolone acetonide, intravitreal implant (retisert), 0.01 mg), ranging from $177.19 in Michigan to $338.94 in Connecticut. The full table on this page lists every publishing state's current rate.
Which state pays the most for J7311?
Connecticut publishes the highest Medicaid rate for J7311 at $338.94. Michigan publishes the lowest at $177.19.
Does J7311 require prior authorization under Medicaid?
4 of the 30 publishing states flag J7311 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".