J0217 Medicaid reimbursement rate by state (2026)
Injection, velmanase alfa-tycv, 1 mg. Medicaid pays a median of $474.67 for J0217 across 35 states, from $396.00 in New Jersey to $536.69 in Utah.
- States publishing
- 35
- National median
- $474.67units vary by state
- Lowest
- $396.00New Jersey
- Highest
- $536.69Utah
What does Medicaid pay for J0217?
35 state Medicaid programs publish a fee-for-service rate for J0217. The national median is $474.67 (units differ between states). Utah pays the most, $536.69, and New Jersey the least, $396.00, a 1.4x spread.
J0217 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 35 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J0217?
It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $474.67. Utah pays the most ($536.69) and New Jersey the least ($396.00).
Which state pays the highest Medicaid rate for J0217?
Utah, at $536.69, effective 2026-07-01.
Do managed-care plans pay the same rate for J0217?
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.