Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J9040. 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
32
Median % of Medicare
--
Rate range
$16.15 - $256.19
J9040 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $21.80 | -- | -- | 2026 |
| Arkansas | $256.19 | -- | -- | 2026 |
| Arizona | $24.84 | -- | -- | 2026 |
| California | $21.06 | -- | -- | 2026 |
| Connecticut | $23.02 | -- | -- | 2026 |
| District of Columbia | $23.02 | -- | Not required | 2026 |
| Iowa | $39.71 | -- | -- | 2024 |
| Idaho | $19.89 | -- | Not required | 2026 |
| Illinois | $16.15 | -- | -- | 2026 |
| Indiana | $32.21 | -- | -- | 2021 |
| Kansas | $24.84 | -- | -- | 2026 |
| Louisiana | $20.91 | -- | -- | 2026 |
| Massachusetts | $21.37 | -- | -- | 2026 |
| Maine | $24.84 | -- | -- | 2026 |
| Michigan | $24.84 | -- | -- | 2026 |
| Minnesota | $24.83 | -- | -- | 2026 |
| Mississippi | $16.60 | -- | -- | 2026 |
| Montana | $23.02 | -- | -- | 2026 |
| North Carolina | $24.84 | -- | -- | 2026 |
| Nebraska | $24.83 | -- | -- | 2026 |
| New Hampshire | $30.68 | -- | Not required | 2026 |
| New Jersey | $77.11 | -- | Not required | 2026 |
| New Mexico | $20.91 | -- | -- | 2025 |
| Oklahoma | $24.84 | -- | -- | 2026 |
| South Carolina | $25.78 | -- | -- | 2026 |
| Texas | $20.90* | -- | -- | 2026 |
| Utah | $24.84* | -- | Not required | 2026 |
| Virginia | $24.83 | -- | -- | 2026 |
| Vermont | $20.45 | -- | -- | 2026 |
| Washington | $24.84 | -- | -- | 2026 |
| Wisconsin | $24.84 | -- | -- | 2026 |
| Wyoming | $24.84 | -- | -- | 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 198 codes from J9000 to J9601 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J9040?
32 state Medicaid programs publish a fee-for-service rate for J9040 (injection, bleomycin sulfate, 15 units), ranging from $16.15 in Illinois to $256.19 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for J9040?
Arkansas publishes the highest Medicaid rate for J9040 at $256.19. Illinois publishes the lowest at $16.15.
Does J9040 require prior authorization under Medicaid?
No publishing state flags J9040 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.