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Billing code J0587 · Pharmacy

J0587 Medicaid reimbursement rate by state (2026)

Injection, rimabotulinumtoxinb, 100 units. Medicaid pays a median of $13.29 for J0587 across 39 states, from $8.31 in North Carolina to $17.74 in California.

Data as of Oct 5, 202639 statesEvery rate links to its official source

States publishing
39
National median
$13.29units vary by state
Lowest
$8.31North Carolina
Highest
$17.74California
Answer

What does Medicaid pay for J0587?

39 state Medicaid programs publish a fee-for-service rate for J0587. The national median is $13.29 (units differ between states). California pays the most, $17.74, and North Carolina the least, $8.31, a 2.1x spread.

State ranking

J0587 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-10-01$17.74——Plans negotiate; applies out of network—
2Utah Source · since 2026-10-01$14.90——Plans negotiate; applies out of network—
3Indiana Source · since 2025-04-01$13.34unit—Plans must pay at least this—
19Oklahoma Source · since 2025-10-01$13.29——State sets the plan rate—
20Nevada Source · since 2026-09-01$13.29——Plans must pay at least this—
21Maine Source · since 2026-07-01$13.29——Not classified—
38New Jersey Source · since 2025-01-01$8.99——Not classified—
39North Carolina Source · since 2022-01-01$8.31——Plans must pay at least this—
See all 39 states for J0587 — start free

31 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 J0587 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 J0587?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $13.29. California pays the most ($17.74) and North Carolina the least ($8.31).

Which state pays the highest Medicaid rate for J0587?

California, at $17.74, effective 2026-10-01.

Do managed-care plans pay the same rate for J0587?

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.