Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J9394. 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
30
Median % of Medicare
--
Rate range
$3.32 - $53.00
J9394 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $26.77 | -- | -- | 2026 |
| Arkansas | $7.85 | -- | -- | 2026 |
| Arizona | $11.65 | -- | -- | 2026 |
| California | $31.57 | -- | -- | 2026 |
| Connecticut | $53.00 | -- | -- | 2024 |
| District of Columbia | $27.11 | -- | Not required | 2026 |
| Iowa | $50.64 | -- | -- | 2023 |
| Idaho | $23.42 | -- | Not required | 2026 |
| Illinois | $26.38 | -- | -- | 2026 |
| Indiana | $52.50 | -- | -- | 2023 |
| Kansas | $27.11 | -- | -- | 2026 |
| Kentucky | $27.11 | -- | -- | 2026 |
| Louisiana | $12.26 | -- | -- | 2026 |
| Michigan | $27.11 | -- | -- | 2026 |
| Minnesota | $27.11 | -- | -- | 2026 |
| Mississippi | $27.11 | -- | -- | 2026 |
| Montana | $27.11 | -- | -- | 2026 |
| Nebraska | $27.11 | -- | -- | 2026 |
| New Hampshire | $50.00 | -- | Not required | 2026 |
| New Jersey | $49.50 | -- | Not required | 2026 |
| New Mexico | $12.26 | -- | -- | 2025 |
| Oklahoma | $27.11 | -- | -- | 2026 |
| Rhode Island | $9.02 | -- | -- | 2026 |
| South Carolina | $27.11 | -- | -- | 2026 |
| Texas | $3.32* | -- | -- | 2026 |
| Utah | $27.11* | -- | Not required | 2026 |
| Virginia | $27.11* | -- | -- | 2026 |
| Vermont | $25.43 | -- | -- | 2026 |
| Washington | $27.11 | -- | -- | 2026 |
| Wisconsin | $27.11 | -- | -- | 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 J9394?
30 state Medicaid programs publish a fee-for-service rate for J9394 (injection, fulvestrant (fresenius kabi) not therapeutically equivalent to j9395, 25 mg), ranging from $3.32 in Texas to $53.00 in Connecticut. The full table on this page lists every publishing state's current rate.
Which state pays the most for J9394?
Connecticut publishes the highest Medicaid rate for J9394 at $53.00. Texas publishes the lowest at $3.32.
Does J9394 require prior authorization under Medicaid?
No publishing state flags J9394 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.