Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J9278. 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
19
Median % of Medicare
--
Rate range
$4.98 - $5.25
J9278 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $5.24 | -- | -- | 2026 |
| Arizona | $4.98 | -- | -- | 2026 |
| California | $5.24 | -- | -- | 2026 |
| Connecticut | $5.24 | -- | -- | 2026 |
| Illinois | $5.10 | -- | -- | 2026 |
| Indiana | $5.25 | -- | -- | 2026 |
| Kansas | $5.20 | -- | -- | 2026 |
| Maine | $5.20 | -- | -- | 2026 |
| Michigan | $5.20 | -- | -- | 2026 |
| Minnesota | $5.20 | -- | Required | 2026 |
| Mississippi | $5.24 | -- | -- | 2026 |
| Nebraska | $5.20 | -- | -- | 2026 |
| New Hampshire | $5.00 | -- | Not required | 2026 |
| Oklahoma | $5.20 | -- | -- | 2026 |
| Utah | $5.20* | -- | Not required | 2026 |
| Virginia | $5.24* | -- | -- | 2026 |
| Vermont | $4.98 | -- | Required | 2026 |
| Washington | $5.20 | -- | -- | 2026 |
| Wisconsin | $5.20 | -- | -- | 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 J9278?
19 state Medicaid programs publish a fee-for-service rate for J9278 (injection, carboplatin (avyxa), 1 mg), ranging from $4.98 in Vermont to $5.25 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J9278?
Indiana publishes the highest Medicaid rate for J9278 at $5.25. Vermont publishes the lowest at $4.98.
Does J9278 require prior authorization under Medicaid?
2 of the 19 publishing states flag J9278 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".