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J0750 Medicaid reimbursement rate by state (2026)

Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg. Medicaid pays a median of $0.4505 for J0750 across 24 states, from $0.44 in Colorado to $61.41 in New Hampshire.

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

States publishing
24
National median
$0.4505units vary by state
Lowest
$0.44Colorado
Highest
$61.41New Hampshire

What does Medicaid pay for J0750?

24 state Medicaid programs publish a fee-for-service rate for J0750 at the physician psychologist level. The national median is $0.4505 (units differ between states). New Hampshire pays the most, $61.41, and Colorado the least, $0.44, a 139.6x spread.

J0750 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2024-01-01$61.41——Plans negotiate; applies out of network—
2New Mexico Source · since 2025-04-01$1.82——Plans must pay at least this—
3New Jersey Source · since 2025-01-01$1.78——Not classified—
12West Virginia Source · since 2026-10-01$0.451200 mg/300 mg—Plans negotiate; applies out of network—
13Arizona Source · since 2026-08-01$0.45——Plans negotiate; applies out of network—
14Rhode Island Source · since 2026-07-01$0.45——Plans negotiate; applies out of network—
23South Dakota Source · since 2026-07-01$0.45——Not classified—
24Colorado Source · since 2026-07-01$0.44——Not classified—
See all 24 states for J0750 — start free

16 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.

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 J0750 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for J0750?

It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $0.4505. New Hampshire pays the most ($61.41) and Colorado the least ($0.44).

Which state pays the highest Medicaid rate for J0750?

New Hampshire, at $61.41, effective 2024-01-01.

Do managed-care plans pay the same rate for J0750?

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.