Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J9161. 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
11
Median % of Medicare
--
Rate range
$11.98 - $12.83
J9161 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $12.83 | -- | -- | 2026 |
| California | $12.10 | -- | -- | 2026 |
| Michigan | $12.83 | -- | -- | 2026 |
| Minnesota | $12.82 | -- | Required | 2026 |
| Nebraska | $12.82 | -- | -- | 2026 |
| New Hampshire | $12.10 | -- | Not required | 2026 |
| New Jersey | $11.98 | -- | Not required | 2026 |
| Oklahoma | $12.83 | -- | -- | 2026 |
| Utah | $12.83* | -- | Not required | 2026 |
| Virginia | $12.82* | -- | -- | 2026 |
| Wisconsin | $12.83 | -- | -- | 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 J9161?
11 state Medicaid programs publish a fee-for-service rate for J9161 (injection, denileukin diftitox-cxdl, 1 mcg), ranging from $11.98 in New Jersey to $12.83 in Arizona. The full table on this page lists every publishing state's current rate.
Which state pays the most for J9161?
Arizona publishes the highest Medicaid rate for J9161 at $12.83. New Jersey publishes the lowest at $11.98.
Does J9161 require prior authorization under Medicaid?
1 of the 11 publishing states flag J9161 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".