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J0348 Medicaid reimbursement rate by state (2026)

Injection, anidulafungin, 1 mg. Medicaid pays a median of $0.49 for J0348 across 37 states, from $0.37 in Indiana to $3.56 in New Hampshire.

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

States publishing
37
National median
$0.49units vary by state
Lowest
$0.37Indiana
Highest
$3.56New Hampshire

What does Medicaid pay for J0348?

37 state Medicaid programs publish a fee-for-service rate for J0348 at the physician psychologist level. The national median is $0.49 (units differ between states). New Hampshire pays the most, $3.56, and Indiana the least, $0.37 per unit, a 9.6x spread.

J0348 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 37 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2026-07-01$3.56——Plans negotiate; applies out of network—
2Iowa Source · since 2024-05-01$1.93——Plans must pay at least this—
3Arkansas Source · since 2025-06-13$1.91——Not classified—
18Oregon Source · since 2026-04-01$0.49——Plans negotiate; applies out of network—
19Oklahoma Source · since 2026-07-01$0.49——State sets the plan rate—
20Mississippi Source · since 2026-07-01$0.49——Plans must pay at least this—
36Idaho Source · since 2025-09-01$0.44——Not classified—
37Indiana Source · since 2025-07-01$0.37unit—Plans must pay at least this—
See all 37 states for J0348 — start free

29 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 J0348 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 J0348?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $0.49. New Hampshire pays the most ($3.56) and Indiana the least ($0.37 per unit).

Which state pays the highest Medicaid rate for J0348?

New Hampshire, at $3.56, effective 2026-07-01.

Do managed-care plans pay the same rate for J0348?

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.