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J0390 Medicaid reimbursement rates by state

Injection, chloroquine hydrochloride, up to 250 mg. 14 state Medicaid programs publish a fee-for-service rate for J0390 at the physician psychologist level. Rates run from $0.71 in Maine to $21.01 in Colorado, with a median of $17.27.

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

States publishing
14
Median rate
$17.27units vary by state
Highest
$21.01Colorado
Medicare (non-facility)
—not on the physician fee schedule

J0390 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
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$21.01since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$19.83since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$18.64since 2003-02-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$17.44since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$17.27since 2021-01-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$17.27since 2005-04-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$17.27since 2026-01-01——Not classified—Maryland Medicaid Professional Services
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$17.27since 2005-01-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$16.58since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$16.41since 2024-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$13.57since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$3.72since 2005-10-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$3.50since 2010-02-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$0.71since 2023-01-01——Not classified—MaineCare Section 90 - Drug Rates/Fee Sc

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 J0390?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $17.27. Colorado pays the most ($21.01) and Maine the least ($0.71).

Which state pays the highest Medicaid rate for J0390?

Colorado, at $21.01, effective 2026-07-01.

Do managed-care plans pay the same rate for J0390?

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

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