Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J9249. 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
14
Median % of Medicare
--
Rate range
$10.00 - $65.27
J9249 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $61.54* | -- | -- | 2026 |
| California | $61.11 | -- | -- | 2026 |
| Illinois | $56.84 | -- | -- | 2026 |
| Kentucky | $64.78 | -- | -- | 2026 |
| Michigan | $33.88 | -- | -- | 2026 |
| Minnesota | $61.11 | -- | Required | 2025 |
| Montana | $64.78 | -- | -- | 2026 |
| Nebraska | $65.27 | -- | -- | 2026 |
| New Hampshire | $61.11 | -- | Not required | 2026 |
| New Jersey | $60.50 | -- | Not required | 2026 |
| Oklahoma | $61.11 | -- | -- | 2026 |
| Utah | $33.74* | -- | Not required | 2026 |
| Washington | $10.00 | -- | -- | 2026 |
| Wisconsin | $32.86 | -- | -- | 2024 |
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 J9249?
14 state Medicaid programs publish a fee-for-service rate for J9249 (injection, melphalan (apotex), 1 mg), ranging from $10.00 in Washington to $65.27 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for J9249?
Nebraska publishes the highest Medicaid rate for J9249 at $65.27. Washington publishes the lowest at $10.00.
Does J9249 require prior authorization under Medicaid?
1 of the 14 publishing states flag J9249 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".