Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J9268. 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
31
Median % of Medicare
--
Rate range
$1,562.75 - $3,207.30
J9268 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2,608.16 | -- | -- | 2026 |
| Arkansas | $1,562.75 | -- | -- | 2026 |
| Arizona | $2,595.90 | -- | -- | 2026 |
| Connecticut | $2,732.53 | -- | -- | 2025 |
| Iowa | $2,470.29 | -- | -- | 2024 |
| Idaho | $2,192.05 | -- | Not required | 2026 |
| Illinois | $2,555.42 | -- | -- | 2026 |
| Indiana | $3,207.30 | -- | -- | 2026 |
| Kansas | $2,697.99 | -- | -- | 2026 |
| Kentucky | $2,537.10 | -- | -- | 2026 |
| Louisiana | $2,732.53 | -- | -- | 2026 |
| Maine | $2,697.99 | -- | -- | 2026 |
| Michigan | $2,697.99 | -- | -- | 2026 |
| Minnesota | $2,697.98 | -- | -- | 2026 |
| Mississippi | $2,626.33 | -- | -- | 2026 |
| Montana | $2,537.10 | -- | -- | 2026 |
| North Carolina | $2,697.99 | -- | -- | 2026 |
| Nebraska | $2,697.98 | -- | -- | 2026 |
| New Hampshire | $3,054.57 | -- | Not required | 2026 |
| New Jersey | $2,324.00 | -- | Not required | 2026 |
| New Mexico | $2,732.53 | -- | -- | 2025 |
| Oklahoma | $2,697.99 | -- | -- | 2026 |
| Rhode Island | $2,133.97 | -- | -- | 2026 |
| South Carolina | $2,697.99 | -- | -- | 2026 |
| Texas | $2,543.89* | -- | -- | 2026 |
| Utah | $2,697.99* | -- | Not required | 2026 |
| Virginia | $2,697.98 | -- | -- | 2026 |
| Vermont | $2,477.75 | -- | -- | 2026 |
| Washington | $2,697.99 | -- | -- | 2026 |
| Wisconsin | $2,697.99 | -- | -- | 2026 |
| Wyoming | $2,697.99 | -- | -- | 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 J9268?
31 state Medicaid programs publish a fee-for-service rate for J9268 (injection, pentostatin, 10 mg), ranging from $1,562.75 in Arkansas to $3,207.30 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J9268?
Indiana publishes the highest Medicaid rate for J9268 at $3,207.30. Arkansas publishes the lowest at $1,562.75.
Does J9268 require prior authorization under Medicaid?
No publishing state flags J9268 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.