J0697 Medicaid reimbursement rate by state (2026)
Injection, sterile cefuroxime sodium, per 750 mg. Medicaid pays a median of $2.05 for J0697 across 39 states, from $1.76 in Vermont to $8.84 in Arkansas.
- States publishing
- 39
- National median
- $2.05units vary by state
- Lowest
- $1.76Vermont
- Highest
- $8.84Arkansas
What does Medicaid pay for J0697?
39 state Medicaid programs publish a fee-for-service rate for J0697. The national median is $2.05 (units differ between states). Arkansas pays the most, $8.84, and Vermont the least, $1.76, a 5.0x spread.
J0697 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.
Frequently asked questions
What does Medicaid pay for J0697?
It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $2.05. Arkansas pays the most ($8.84) and Vermont the least ($1.76).
Which state pays the highest Medicaid rate for J0697?
Arkansas, at $8.84, effective 2025-06-04.
Do managed-care plans pay the same rate for J0697?
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.