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J0122 Medicaid reimbursement rate by state (2026)

Injection, eravacycline, 1 mg. Medicaid pays a median of $1.33 for J0122 across 38 states, from $0.95 in North Carolina to $1.49 in Utah.

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

States publishing
38
National median
$1.33units vary by state
Lowest
$0.95North Carolina
Highest
$1.49Utah

What does Medicaid pay for J0122?

38 state Medicaid programs publish a fee-for-service rate for J0122 at the physician psychologist level. The national median is $1.33 (units differ between states). Utah pays the most, $1.49, and North Carolina the least, $0.95, a 1.6x spread.

J0122 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 38 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2026-10-01$1.49——Plans negotiate; applies out of network—
2New Hampshire Source · since 2026-07-01$1.46——Plans negotiate; applies out of network—
3Arizona Source · since 2026-08-01$1.38——Plans negotiate; applies out of network—
19Wisconsin Source · since 2026-10-01$1.33——Plans negotiate; applies out of network—
20Kansas Source · since 2026-10-01$1.33——Plans must pay at least this—
21South Dakota Source · since 2026-10-01$1.33——Not classified—
37New Jersey Source · since 2025-01-01$0.97——Not classified—
38North Carolina Source · since 2022-01-01$0.95——Plans must pay at least this—
See all 38 states for J0122 — start free

30 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 J0122 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 J0122?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $1.33. Utah pays the most ($1.49) and North Carolina the least ($0.95).

Which state pays the highest Medicaid rate for J0122?

Utah, at $1.49, effective 2026-10-01.

Do managed-care plans pay the same rate for J0122?

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.