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Billing code J0184 · Pharmacy

J0184 Medicaid reimbursement rate by state (2026)

Injection, amisulpride, 1 mg. Medicaid pays a median of $9.54 for J0184 across 24 states, from $3.35 in New Jersey to $10.68 in Utah.

Data as of Oct 5, 202624 statesEvery rate links to its official source

States publishing
24
National median
$9.54units vary by state
Lowest
$3.35New Jersey
Highest
$10.68Utah
Answer

What does Medicaid pay for J0184?

24 state Medicaid programs publish a fee-for-service rate for J0184. The national median is $9.54 (units differ between states). Utah pays the most, $10.68, and New Jersey the least, $3.35, a 3.2x spread.

State ranking

J0184 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2025-01-01$10.68——Plans negotiate; applies out of network—
2North Carolina Source · since 2025-02-01$10.30——Plans negotiate; applies out of network—
3Arkansas Source · since 2025-06-04$10.26——Not classified—
12Minnesota Source · since 2026-06-01$9.54——Plans negotiate; applies out of network—
13Colorado Source · since 2025-01-01$9.54——Not classified—
14Louisiana Source · since 2025-01-01$9.54——Plans must pay at least this—
23Illinois Source · since 2025-10-01$8.87——Plans negotiate; applies out of network—
24New Jersey Source · since 2025-01-01$3.35——Not classified—
See all 24 states for J0184 — start free

16 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 J0184 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 J0184?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $9.54. Utah pays the most ($10.68) and New Jersey the least ($3.35).

Which state pays the highest Medicaid rate for J0184?

Utah, at $10.68, effective 2025-01-01.

Do managed-care plans pay the same rate for J0184?

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.