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J0698 Medicaid reimbursement rates by state

Injection, cefotaxime sodium, per gm. 33 state Medicaid programs publish a fee-for-service rate for J0698 at the physician psychologist level. Rates run from $2.02 in Idaho to $33.33 in South Dakota, with a median of $4.09.

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

States publishing
33
Median rate
$4.09units vary by state
Highest
$33.33South Dakota
Medicare (non-facility)
—not on the physician fee schedule

J0698 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
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$33.33⚠ over 3× mediansince 2026-07-01——Not classified—South Dakota Medicaid Drugs and Biologic
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$13.05⚠ over 3× mediansince 2025-06-04——Not classified—Arkansas Medicaid Certified Nurse-Midwif
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$10.98since 2024-04-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$10.47since 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)$10.00since 2024-09-01——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)$9.93since 2024-05-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$9.81since 2025-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$9.80since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$9.80since 2021-10-01——Plans negotiate; applies out of network—Copy of PADL- Appendix A Published Copy_
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$9.64since 2026-02-01——Plans must pay at least this—Physician Administered Drug (PAD) Pricin
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$9.49since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$7.10since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$5.28since 2020-04-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$5.03since 2024-01-01——Plans must pay at least this—Louisiana Medicaid Professional Services
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$5.03since 2026-08-25——Not classified—Physician Drug Fee Schedule (REF-0130-Q)
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$5.03since 2024-01-01——State sets the plan rate—SoonerCare Title XIX Fee Schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$4.09since 2022-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Midwives
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$3.43since 2024-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$3.40since 2023-01-01——Not classified—SCDHHS Infusion Center Fee Schedule (sch
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$3.13since 2025-07-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$2.95since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$2.78since 2021-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$2.78since 2021-07-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$2.78since 2023-01-01——Plans negotiate; applies out of network—MDHHS Child and Adolescent Health Center
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$2.78since 2021-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$2.78since 2021-07-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$2.78since 2023-01-01——Not classified—MaineCare Section 90 - Drug Rates/Fee Sc
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$2.78since 2021-07-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$2.77since 2021-07-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$2.77since 2021-07-01——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)$2.33since 2026-01-01——Not classified—Maryland Medicaid Professional Services
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$2.05since 2026-07-01——Plans negotiate; applies out of network—HCA Kidney centers fee schedule (kidneyc
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$2.02since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 J0698?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $4.09. South Dakota pays the most ($33.33) and Idaho the least ($2.02).

Which state pays the highest Medicaid rate for J0698?

South Dakota, at $33.33, effective 2026-07-01.

Do managed-care plans pay the same rate for J0698?

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.

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