Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J9264. 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
$29/mo after the trial. Cancel anytime.
Publishing states
32
Median % of Medicare
--
Rate range
$5.86 - $14.93
J9264 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $10.54 | -- | -- | 2026 |
| Arkansas | $9.84 | -- | -- | 2026 |
| Arizona | $12.86 | -- | -- | 2026 |
| California | $6.02 | -- | -- | 2026 |
| Connecticut | $14.29 | -- | -- | 2024 |
| District of Columbia | $8.18 | -- | Not required | 2026 |
| Iowa | $14.59 | -- | -- | 2024 |
| Idaho | $7.08 | -- | Not required | 2026 |
| Illinois | $5.86 | -- | -- | 2026 |
| Indiana | $14.93 | -- | -- | 2022 |
| Kansas | $6.59 | -- | -- | 2026 |
| Kentucky | $8.18 | -- | -- | 2026 |
| Louisiana | $13.54 | -- | -- | 2026 |
| Maine | $6.59 | -- | -- | 2026 |
| Michigan | $6.59 | -- | -- | 2026 |
| Minnesota | $6.58 | -- | -- | 2026 |
| Mississippi | $6.02 | -- | -- | 2026 |
| Montana | $8.18 | -- | -- | 2026 |
| Nebraska | $6.58 | -- | -- | 2026 |
| New Hampshire | $12.80 | -- | Not required | 2026 |
| New Jersey | $9.40 | -- | Not required | 2026 |
| New Mexico | $13.54 | -- | -- | 2025 |
| Oklahoma | $6.59 | -- | -- | 2026 |
| Rhode Island | $12.08 | -- | -- | 2026 |
| South Carolina | $6.59 | -- | -- | 2026 |
| Texas | $12.12* | -- | -- | 2026 |
| Utah | $6.59* | -- | Not required | 2026 |
| Virginia | $6.58 | -- | -- | 2026 |
| Vermont | $10.01 | -- | -- | 2026 |
| Washington | $6.59 | -- | -- | 2026 |
| Wisconsin | $6.59 | -- | -- | 2026 |
| Wyoming | $6.59 | -- | -- | 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 J9264?
32 state Medicaid programs publish a fee-for-service rate for J9264 (injection, paclitaxel protein-bound particles, 1 mg), ranging from $5.86 in Illinois to $14.93 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J9264?
Indiana publishes the highest Medicaid rate for J9264 at $14.93. Illinois publishes the lowest at $5.86.
Does J9264 require prior authorization under Medicaid?
No publishing state flags J9264 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.