Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J8655. 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
$328.48 - $724.61
J8655 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $401.75* | -- | -- | 2026 |
| Arizona | $379.88 | -- | -- | 2026 |
| Connecticut | $410.06 | -- | -- | 2024 |
| District of Columbia | $380.19 | -- | Not required | 2026 |
| Iowa | $698.93 | -- | -- | 2024 |
| Idaho | $328.48 | -- | Not required | 2026 |
| Illinois | $387.05 | -- | -- | 2026 |
| Indiana | $724.61 | -- | -- | 2022 |
| Kentucky | $380.19 | -- | -- | 2026 |
| Louisiana | $399.87 | -- | -- | 2026 |
| Massachusetts | $334.78 | -- | -- | 2026 |
| Maine | $474.04 | -- | -- | 2026 |
| Michigan | $474.04 | -- | -- | 2026 |
| Minnesota | $474.03 | -- | Required | 2026 |
| Mississippi | $380.19 | -- | -- | 2026 |
| Montana | $380.19 | -- | -- | 2026 |
| New Hampshire | $690.10 | -- | Not required | 2026 |
| New Mexico | $399.87 | -- | -- | 2025 |
| Oklahoma | $474.04 | -- | -- | 2026 |
| Rhode Island | $644.99 | -- | -- | 2026 |
| South Carolina | $474.04 | -- | -- | 2026 |
| Utah | $474.04* | -- | Not required | 2026 |
| Virginia | $474.03 | -- | -- | 2026 |
| Vermont | $401.75 | -- | Required | 2026 |
| Washington | $474.04 | -- | -- | 2026 |
| Wisconsin | $474.04 | -- | -- | 2026 |
| Wyoming | $396.09 | -- | -- | 2022 |
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 17 codes from J8501 to J8705 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J8655?
27 state Medicaid programs publish a fee-for-service rate for J8655 (netupitant 300 mg and palonosetron 0.5 mg, oral), ranging from $328.48 in Idaho to $724.61 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J8655?
Indiana publishes the highest Medicaid rate for J8655 at $724.61. Idaho publishes the lowest at $328.48.
Does J8655 require prior authorization under Medicaid?
2 of the 27 publishing states flag J8655 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".