The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Colorado drugs schedule has 39 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Published codes
39
Drugs procedures on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2026
latest effective year on the schedule
Common drugs procedures and what Colorado Medicaid pays
A curated sample of recognizable procedures from the 39-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Colorado rate | % of Medicare |
|---|
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 * show the schedule's representative published variant.
More Colorado Medicaid fee schedules
- Colorado physician fee schedule · 6,772 codes
- Colorado dme & supplies fee schedule · 2,193 codes
- Colorado lab & imaging fee schedule · 794 codes
- Colorado other services fee schedule · 372 codes
- Colorado anesthesia fee schedule · 275 codes
- Colorado vision fee schedule · 167 codes
Drugs rates in neighboring states
Frequently asked questions
What does Colorado Medicaid pay for physician-administered drugs?
Colorado Medicaid publishes 39 drugs procedure rates effective 2026 on its fee-for-service schedule. The schedule covers injectable and infused medications billed under HCPCS J-codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Colorado's drugs rates compare with Medicare?
Most drugs codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do drugs services need prior authorization in Colorado?
Colorado does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Colorado's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Colorado changes these rates.