Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J9076. 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
$2.80 - $5.08
J9076 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $5.01 | -- | -- | 2026 |
| Arkansas | $3.87 | -- | -- | 2026 |
| California | $3.72 | -- | -- | 2026 |
| Connecticut | $4.92 | -- | -- | 2026 |
| District of Columbia | $4.92 | -- | Not required | 2026 |
| Idaho | $4.25 | -- | Not required | 2026 |
| Illinois | $3.62 | -- | -- | 2026 |
| Indiana | $5.08 | -- | -- | 2025 |
| Kansas | $4.39 | -- | -- | 2026 |
| Kentucky | $4.92 | -- | -- | 2026 |
| Louisiana | $4.84 | -- | -- | 2026 |
| Michigan | $4.39 | -- | -- | 2026 |
| Minnesota | $4.38 | -- | -- | 2026 |
| Mississippi | $3.72 | -- | -- | 2026 |
| Montana | $4.92 | -- | -- | 2026 |
| Nebraska | $4.38 | -- | -- | 2026 |
| New Hampshire | $4.84 | -- | Not required | 2026 |
| New Jersey | $4.79 | -- | Not required | 2026 |
| New Mexico | $2.80 | -- | -- | 2025 |
| Oklahoma | $4.39 | -- | -- | 2026 |
| South Carolina | $4.39 | -- | -- | 2026 |
| Texas | $5.03* | -- | -- | 2026 |
| Utah | $4.39* | -- | Not required | 2026 |
| Virginia | $4.38 | -- | -- | 2026 |
| Vermont | $4.76 | -- | -- | 2026 |
| Washington | $4.39 | -- | -- | 2026 |
| Wisconsin | $4.39 | -- | -- | 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 J9076?
27 state Medicaid programs publish a fee-for-service rate for J9076 (injection, cyclophosphamide (baxter), 5 mg), ranging from $2.80 in New Mexico to $5.08 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J9076?
Indiana publishes the highest Medicaid rate for J9076 at $5.08. New Mexico publishes the lowest at $2.80.
Does J9076 require prior authorization under Medicaid?
No publishing state flags J9076 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.