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J0014 Medicaid reimbursement rate by state (2026)

Cocaine hydrochloride nasal solution (goprelto), 1 mg. Medicaid pays a median of $1.83 for J0014 across 7 states, from $1.69 in California to $1.83 in Utah.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
7
National median
$1.83units vary by state
Lowest
$1.69California
Highest
$1.83Utah

What does Medicaid pay for J0014?

7 state Medicaid programs publish a fee-for-service rate for J0014. The national median is $1.83 (units differ between states). Utah pays the most, $1.83, and California the least, $1.69, a 1.1x spread.

J0014 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2026-10-01$1.83——Plans negotiate; applies out of network—
2Ohio Source · since 2026-10-01$1.83——Plans negotiate; applies out of network—
3Washington Source · since 2026-10-01$1.83——Plans negotiate; applies out of network—
7California Source · since 2026-10-01$1.69——Plans negotiate; applies out of network—
See all 7 states for J0014 — start free

3 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track J0014 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for J0014?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $1.83. Utah pays the most ($1.83) and California the least ($1.69).

Which state pays the highest Medicaid rate for J0014?

Utah, at $1.83, effective 2026-10-01.

Do managed-care plans pay the same rate for J0014?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.