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Billing code J0834 · Pharmacy

J0834 Medicaid reimbursement rate by state (2026)

Injection, cosyntropin, 0.25 mg. Medicaid pays a median of $20.65 for J0834 across 39 states, from $15.82 in Illinois to $107.44 in New Jersey.

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

States publishing
39
National median
$20.65units vary by state
Lowest
$15.82Illinois
Highest
$107.44New Jersey
Answer

What does Medicaid pay for J0834?

39 state Medicaid programs publish a fee-for-service rate for J0834. The national median is $20.65 (units differ between states). New Jersey pays the most, $107.44, and Illinois the least, $15.82, a 6.8x spread.

State ranking

J0834 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
1New Jersey Source · since 2025-01-01$107.44——Not classified—
2Arkansas Source · since 2025-06-13$91.20——Not classified—
3Indiana Source · since 2022-10-01$84.21unit—Plans must pay at least this—
19California Source · since 2026-10-01$20.72——Plans negotiate; applies out of network—
20Texas Source · since 2026-09-01$20.65——Plans negotiate; applies out of network—
21Maryland Source · since 2026-01-01$20.65——Not classified—
38Mississippi Source · since 2026-07-01$16.26——Plans must pay at least this—
39Illinois Source · since 2026-04-01$15.82——Plans negotiate; applies out of network—
See all 39 states for J0834 — 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 J0834 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 J0834?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $20.65. New Jersey pays the most ($107.44) and Illinois the least ($15.82).

Which state pays the highest Medicaid rate for J0834?

New Jersey, at $107.44, effective 2025-01-01.

Do managed-care plans pay the same rate for J0834?

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.