Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J9198. 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
20
Median % of Medicare
--
Rate range
$23.57 - $43.15
J9198 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $38.00 | -- | -- | 2026 |
| California | $38.00 | -- | -- | 2026 |
| Connecticut | $40.28 | -- | -- | 2024 |
| District of Columbia | $40.28 | -- | Required | 2024 |
| Iowa | $38.49 | -- | -- | 2021 |
| Idaho | $34.80 | -- | Not required | 2025 |
| Indiana | $39.90 | -- | -- | 2020 |
| Kansas | $40.28 | -- | -- | 2023 |
| Kentucky | $38.47 | -- | -- | 2026 |
| Louisiana | $40.28 | -- | -- | 2026 |
| Michigan | $40.28 | -- | -- | 2026 |
| Montana | $43.15 | -- | -- | 2026 |
| New Hampshire | $38.00 | -- | Not required | 2026 |
| New Jersey | $37.62 | -- | Not required | 2026 |
| New Mexico | $40.28 | -- | -- | 2023 |
| South Carolina | $37.39 | -- | -- | 2024 |
| Utah | $40.28* | -- | Not required | 2024 |
| Virginia | $40.28 | -- | -- | 2023 |
| Wisconsin | $40.28 | -- | -- | 2023 |
| Wyoming | $23.57 | -- | -- | 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 198 codes from J9000 to J9601 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J9198?
20 state Medicaid programs publish a fee-for-service rate for J9198 (injection, gemcitabine hydrochloride, (infugem), 100 mg), ranging from $23.57 in Wyoming to $43.15 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J9198?
Montana publishes the highest Medicaid rate for J9198 at $43.15. Wyoming publishes the lowest at $23.57.
Does J9198 require prior authorization under Medicaid?
1 of the 20 publishing states flag J9198 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".