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J0654 Medicaid reimbursement rates by state

Injection, liothyronine, 1 mcg. 15 state Medicaid programs publish a fee-for-service rate for J0654 at the physician psychologist level. Rates run from $4.23 in Oklahoma to $45.18 in Nebraska, with a median of $42.30.

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

States publishing
15
Median rate
$42.30units vary by state
Highest
$45.18Nebraska
Medicare (non-facility)
—not on the physician fee schedule

J0654 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$45.18since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$44.94since 2026-01-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$44.65since 2026-01-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$44.42since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$43.36since 2026-02-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$42.30since 2026-04-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$42.30since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$42.30since 2026-01-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$42.30since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$42.30since 2026-01-01——Not classified—Q1/Q2/Q3/Q4 2026 PAD Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$42.30since 2026-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$38.07since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$33.96since 2026-01-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$7.60since 2026-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$4.23since 2026-01-01——State sets the plan rate—SoonerCare Title XIX Fee Schedule

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 J0654?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $42.30. Nebraska pays the most ($45.18) and Oklahoma the least ($4.23).

Which state pays the highest Medicaid rate for J0654?

Nebraska, at $45.18, effective 2026-07-01.

Do managed-care plans pay the same rate for J0654?

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

Track J0654 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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