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Billing code J0168 · Pharmacy

J0168 Medicaid reimbursement rate by state (2026)

Injection, epinephrine (international medication systems). Medicaid pays a median of $2.60 for J0168 across 34 states, from $1.36 in New Jersey to $3.00 in Maryland.

Data as of Oct 5, 202634 statesEvery rate links to its official source

States publishing
34
National median
$2.60units vary by state
Lowest
$1.36New Jersey
Highest
$3.00Maryland
Answer

What does Medicaid pay for J0168?

34 state Medicaid programs publish a fee-for-service rate for J0168. The national median is $2.60 (units differ between states). Maryland pays the most, $3.00, and New Jersey the least, $1.36, a 2.2x spread.

State ranking

J0168 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 34 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Maryland Source · since 2026-01-01$3.00——Not classified—
2Connecticut Source · since 2026-01-01$3.00——Not classified—
3Montana Source · since 2026-01-01$3.00——Not classified—
17Colorado Source · since 2026-10-01$2.61——Not classified—
18Idaho Source · since 2026-07-01$2.59——Not classified—
19California Source · since 2026-07-01$2.56——Plans negotiate; applies out of network—
33New Hampshire Source · since 2025-07-01$1.37——Plans negotiate; applies out of network—
34New Jersey Source · since 2026-01-01$1.36——Not classified—
See all 34 states for J0168 — start free

26 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.

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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 J0168 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for J0168?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $2.60. Maryland pays the most ($3.00) and New Jersey the least ($1.36).

Which state pays the highest Medicaid rate for J0168?

Maryland, at $3.00, effective 2026-01-01.

Do managed-care plans pay the same rate for J0168?

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.