Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J9226. 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
28
Median % of Medicare
--
Rate range
$14,834.06 - $52,690.70
J9226 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $14,834.06 | -- | -- | 2026 |
| Arizona | $42,998.71 | -- | -- | 2026 |
| California | $41,173.43 | -- | -- | 2026 |
| Connecticut | $45,261.80 | -- | -- | 2025 |
| Iowa | $47,999.60 | -- | -- | 2024 |
| Idaho | $37,312.14 | -- | Required | 2026 |
| Illinois | $40,061.74 | -- | -- | 2026 |
| Indiana | $52,690.70 | -- | -- | 2025 |
| Kansas | $37,491.97 | -- | -- | 2026 |
| Kentucky | $43,185.34 | -- | -- | 2026 |
| Maine | $37,491.97 | -- | -- | 2026 |
| Michigan | $37,491.97 | -- | -- | 2026 |
| Minnesota | $37,491.97 | -- | Required | 2026 |
| Mississippi | $41,173.43 | -- | -- | 2026 |
| Montana | $43,185.34 | -- | Required | 2026 |
| New Hampshire | $50,181.62 | -- | Not required | 2026 |
| New Jersey | $15,312.50 | -- | Not required | 2026 |
| New Mexico | $45,261.80 | -- | -- | 2025 |
| Oklahoma | $37,491.97 | -- | -- | 2026 |
| Rhode Island | $19,580.12 | -- | -- | 2026 |
| South Carolina | $37,491.97 | -- | -- | 2026 |
| Texas | $45,560.39* | -- | -- | 2026 |
| Utah | $37,491.97* | -- | Not required | 2026 |
| Virginia | $37,491.97 | -- | -- | 2026 |
| Vermont | $42,769.62 | -- | Required | 2026 |
| Washington | $37,491.97 | -- | -- | 2026 |
| Wisconsin | $37,491.97 | -- | -- | 2026 |
| Wyoming | $38,268.92 | -- | Required | 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 J9226?
28 state Medicaid programs publish a fee-for-service rate for J9226 (histrelin implant (supprelin la), 50 mg), ranging from $14,834.06 in Arkansas to $52,690.70 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J9226?
Indiana publishes the highest Medicaid rate for J9226 at $52,690.70. Arkansas publishes the lowest at $14,834.06.
Does J9226 require prior authorization under Medicaid?
5 of the 28 publishing states flag J9226 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".