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Billing code J0401 · Pharmacy

J0401 Medicaid reimbursement rate by state (2026)

Injection, aripiprazole (abilify maintena), 1 mg. Medicaid pays a median of $7.46 for J0401 across 40 states, from $3.63 in Arkansas to $11.73 in California.

Data as of Oct 5, 202640 statesEvery rate links to its official source

States publishing
40
National median
$7.46units vary by state
Lowest
$3.63Arkansas
Highest
$11.73California
Answer

What does Medicaid pay for J0401?

40 state Medicaid programs publish a fee-for-service rate for J0401. The national median is $7.46 (units differ between states). California pays the most, $11.73, and Arkansas the least, $3.63, a 3.2x spread.

State ranking

J0401 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 40 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-10-01$11.73——Plans negotiate; applies out of network—
2Utah Source · since 2026-07-01$8.36——Plans negotiate; applies out of network—
3Indiana Source · since 2026-04-01$7.85unit—Plans must pay at least this—
20South Dakota Source · since 2026-07-01$7.46——Not classified—
21West Virginia Source · since 2026-10-01$7.461 MG—Plans negotiate; applies out of network—
22Connecticut Source · since 2026-01-01$7.28——Not classified—
39New Jersey Source · since 2025-01-01$3.70——Not classified—
40Arkansas Source · since 2025-06-13$3.63——Not classified—
See all 40 states for J0401 — start free

32 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 J0401 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 J0401?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $7.46. California pays the most ($11.73) and Arkansas the least ($3.63).

Which state pays the highest Medicaid rate for J0401?

California, at $11.73, effective 2026-10-01.

Do managed-care plans pay the same rate for J0401?

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.