Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J7504. 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
29
Median % of Medicare
--
Rate range
$262.24 - $5,548.96
J7504 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $5,135.09 | -- | -- | 2026 |
| Arkansas | $262.24 | -- | -- | 2026 |
| Arizona | $4,137.94 | -- | -- | 2026 |
| Connecticut | $5,307.93 | -- | -- | 2026 |
| Iowa | $3,508.44 | -- | -- | 2024 |
| Idaho | $4,586.05 | -- | Not required | 2026 |
| Illinois | $5,149.54 | -- | -- | 2026 |
| Indiana | $4,401.14 | -- | -- | 2024 |
| Kentucky | $5,307.93 | -- | -- | 2026 |
| Maine | $5,548.96 | -- | -- | 2026 |
| Michigan | $5,548.96 | -- | -- | 2026 |
| Minnesota | $5,548.96 | -- | -- | 2026 |
| Mississippi | $5,292.43 | -- | -- | 2026 |
| Montana | $5,307.93 | -- | -- | 2026 |
| North Carolina | $5,548.96 | -- | -- | 2026 |
| Nebraska | $5,548.96 | -- | -- | 2026 |
| New Hampshire | $5,314.38 | -- | Not required | 2026 |
| New Jersey | $367.36 | -- | Not required | 2026 |
| New Mexico | $4,355.73 | -- | -- | 2025 |
| Oklahoma | $5,548.96 | -- | -- | 2026 |
| Rhode Island | $617.82 | -- | -- | 2026 |
| South Carolina | $5,548.96 | -- | -- | 2026 |
| Texas | $5,013.11* | -- | -- | 2026 |
| Utah | $5,548.96* | -- | Required | 2026 |
| Virginia | $5,548.96 | -- | -- | 2026 |
| Vermont | $4,878.34 | -- | -- | 2026 |
| Washington | $5,548.96 | -- | -- | 2026 |
| Wisconsin | $5,548.96 | -- | -- | 2026 |
| Wyoming | $5,548.96 | -- | -- | 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
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- 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 J7504?
29 state Medicaid programs publish a fee-for-service rate for J7504 (lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg), ranging from $262.24 in Arkansas to $5,548.96 in Maine. The full table on this page lists every publishing state's current rate.
Which state pays the most for J7504?
Maine publishes the highest Medicaid rate for J7504 at $5,548.96. Arkansas publishes the lowest at $262.24.
Does J7504 require prior authorization under Medicaid?
1 of the 29 publishing states flag J7504 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".