The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Massachusetts drugs schedule has 66 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
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Published codes
66
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 Massachusetts Medicaid pays
A curated sample of recognizable procedures from the 66-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 | Massachusetts 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 Massachusetts Medicaid fee schedules
- Massachusetts physician fee schedule · 6,679 codes
- Massachusetts dme & supplies fee schedule · 2,235 codes
- Massachusetts lab & imaging fee schedule · 2,166 codes
- Massachusetts other services fee schedule · 165 codes
- Massachusetts vision fee schedule · 149 codes
- Massachusetts behavioral health fee schedule · 44 codes
Drugs rates in neighboring states
Frequently asked questions
What does Massachusetts Medicaid pay for physician-administered drugs?
Massachusetts Medicaid publishes 66 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 Massachusetts'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 Massachusetts?
Massachusetts 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 Massachusetts'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 Massachusetts changes these rates.