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J0211 Medicaid reimbursement rates by state

Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg.... 7 state Medicaid programs publish a fee-for-service rate for J0211 at the clinical nurse specialist level. Rates run from $1.47 in Nevada to $23.50 in New Hampshire, with a median of $2.17.

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

States publishing
7
Median rate
$2.17units vary by state
Highest
$23.50New Hampshire
Medicare (non-facility)
—not on the physician fee schedule

J0211 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$23.50⚠ over 3× mediansince 2025-07-01——Plans negotiate; applies out of network—2026 Fee Schedule - Covered Procedures R
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$3.24since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$2.17since 2024-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$2.17since 2024-07-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1.88since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$1.47since 2025-07-01——Not classified—SCDHHS Infusion Center Fee Schedule (sch
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1.47since 2026-02-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for J0211?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $2.17. New Hampshire pays the most ($23.50) and Nevada the least ($1.47).

Which state pays the highest Medicaid rate for J0211?

New Hampshire, at $23.50, effective 2025-07-01.

Do managed-care plans pay the same rate for J0211?

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 table shows the rule for each state, cited to the contract or statute.

Related Pharmacy codes

Track J0211 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state