The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J7613. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
24
Median % of Medicare
--
Rate range
$0.06 - $0.54
J7613 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $0.06 | -- | -- | 2026 |
| California | $0.08 | -- | -- | 2026 |
| Connecticut | $0.07 | -- | -- | 2025 |
| District of Columbia | $0.07 | -- | Not required | 2025 |
| Iowa | $0.10 | -- | -- | 2024 |
| Idaho | $0.07 | -- | Not required | 2025 |
| Illinois | $0.07 | -- | -- | 2026 |
| Indiana | $0.07 | -- | -- | 2012 |
| Kansas | $0.06 | -- | -- | 2026 |
| Maine | $0.06 | -- | -- | 2026 |
| Minnesota | $0.06 | -- | -- | 2026 |
| Montana | $0.07 | -- | -- | 2026 |
| Nebraska | $0.06 | -- | -- | 2026 |
| New Hampshire | $0.06 | -- | Not required | 2026 |
| New Jersey | $0.54 | -- | Not required | 2026 |
| New Mexico | $0.07 | -- | -- | 2025 |
| Oklahoma | $0.06 | -- | -- | 2026 |
| Texas | $0.08* | -- | -- | 2026 |
| Utah | $0.24* | -- | Not required | 2026 |
| Virginia | $0.06 | -- | -- | 2026 |
| Vermont | $0.08 | -- | -- | 2026 |
| Washington | $0.06 | -- | -- | 2026 |
| Wisconsin | $0.06 | -- | -- | 2026 |
| Wyoming | $0.06 | -- | -- | 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.
Frequently asked questions
How much does Medicaid pay for J7613?
24 state Medicaid programs publish a fee-for-service rate for J7613 (albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg), ranging from $0.06 in Wyoming to $0.54 in New Jersey. The full table on this page lists every publishing state's current rate.
Which state pays the most for J7613?
New Jersey publishes the highest Medicaid rate for J7613 at $0.54. Wyoming publishes the lowest at $0.06.
Does J7613 require prior authorization under Medicaid?
No publishing state flags J7613 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.