Skip to content
Billing code J0887 · Pharmacy

J0887 Medicaid reimbursement rate by state (2026)

Injection, epoetin beta, 1 microgram, (for esrd on dialysis). Medicaid pays a median of $1.20 for J0887 across 35 states, from $1.01 in Illinois to $5.49 in California.

Data as of Oct 5, 202635 statesEvery rate links to its official source

States publishing
35
National median
$1.20units vary by state
Lowest
$1.01Illinois
Highest
$5.49California
Answer

What does Medicaid pay for J0887?

35 state Medicaid programs publish a fee-for-service rate for J0887. The national median is $1.20 (units differ between states). California pays the most, $5.49, and Illinois the least, $1.01, a 5.4x spread.

State ranking

J0887 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 35 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-10-01$5.49——Plans negotiate; applies out of network—
2Indiana Source · since 2019-07-01$3.03unit—Plans must pay at least this—
3Iowa Source · since 2021-10-01$2.92——Plans must pay at least this—
17Kansas Source · since 2026-10-01$1.20——Plans must pay at least this—
18South Dakota Source · since 2026-10-01$1.20——Not classified—
19West Virginia Source · since 2026-10-01$1.201 MCG—Plans negotiate; applies out of network—
34Mississippi Source · since 2026-07-01$1.03——Plans must pay at least this—
35Illinois Source · since 2026-04-01$1.01——Plans negotiate; applies out of network—
See all 35 states for J0887 — start free

27 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 J0887 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 J0887?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $1.20. California pays the most ($5.49) and Illinois the least ($1.01).

Which state pays the highest Medicaid rate for J0887?

California, at $5.49, effective 2026-10-01.

Do managed-care plans pay the same rate for J0887?

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.