The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Utah drugs schedule has 739 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
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Published codes
739
Drugs procedures on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
PA required
204
codes flagged by the state
Common drugs procedures and what Utah Medicaid pays
A curated sample of recognizable procedures from the 739-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 | Utah rate | % of Medicare |
|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | $0.37* | -- |
| J2550 | Injection, promethazine hcl, up to 50 mg | $3.64* | -- |
| J7030 | Infusion, normal saline solution , 1000 cc | $2.18* | -- |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | $0.24* | -- |
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 Utah Medicaid fee schedules
- Utah physician fee schedule · 6,362 codes
- Utah lab & imaging fee schedule · 1,885 codes
- Utah dme & supplies fee schedule · 1,646 codes
- Utah other services fee schedule · 626 codes
- Utah vision fee schedule · 122 codes
- Utah behavioral health fee schedule · 53 codes
Drugs rates in neighboring states
Frequently asked questions
What does Utah Medicaid pay for physician-administered drugs?
Utah Medicaid publishes 739 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 Utah'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 Utah?
Utah publishes prior-authorization flags on its schedule: 204 drugs codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Utah'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 Utah changes these rates.