Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J9286. 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
29
Median % of Medicare
--
Rate range
$2,456.86 - $2,888.52
J9286 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2,767.88 | -- | -- | 2026 |
| Arkansas | $2,707.93 | -- | -- | 2026 |
| Arizona | $2,632.36 | -- | -- | 2026 |
| California | $2,840.68 | -- | -- | 2026 |
| Connecticut | $2,843.59 | -- | -- | 2026 |
| District of Columbia | $2,843.59 | -- | Required | 2026 |
| Iowa | $2,587.44 | -- | -- | 2024 |
| Idaho | $2,456.86 | -- | Required | 2026 |
| Illinois | $2,763.98 | -- | -- | 2026 |
| Indiana | $2,888.52 | -- | -- | 2026 |
| Kansas | $2,864.68 | -- | -- | 2026 |
| Kentucky | $2,843.59 | -- | -- | 2026 |
| Maine | $2,864.68 | -- | -- | 2026 |
| Michigan | $2,864.68 | -- | -- | 2026 |
| Minnesota | $2,864.67 | -- | Required | 2026 |
| Mississippi | $2,840.68 | -- | -- | 2026 |
| Montana | $2,843.59 | -- | -- | 2026 |
| Nebraska | $2,864.67 | -- | -- | 2026 |
| New Hampshire | $2,750.97 | -- | Not required | 2026 |
| New Jersey | $2,529.18 | -- | Not required | 2026 |
| New Mexico | $2,770.91 | -- | -- | 2025 |
| Oklahoma | $2,864.68 | -- | -- | 2026 |
| Rhode Island | $2,578.55 | -- | -- | 2026 |
| Texas | $2,770.57* | -- | -- | 2026 |
| Utah | $2,864.68* | -- | Not required | 2026 |
| Virginia | $2,864.67* | -- | -- | 2026 |
| Vermont | $2,629.49 | -- | Required | 2026 |
| Washington | $2,864.68 | -- | -- | 2026 |
| Wisconsin | $2,864.68 | -- | -- | 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 J9286?
29 state Medicaid programs publish a fee-for-service rate for J9286 (injection, glofitamab-gxbm, 2.5 mg), ranging from $2,456.86 in Idaho to $2,888.52 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for J9286?
Indiana publishes the highest Medicaid rate for J9286 at $2,888.52. Idaho publishes the lowest at $2,456.86.
Does J9286 require prior authorization under Medicaid?
4 of the 29 publishing states flag J9286 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".