J0890 Medicaid reimbursement rate by state (2026)
Injection, peginesatide, 0.1 mg (for esrd on dialysis). Medicaid pays a median of $8.69 for J0890 across 11 states, from $7.26 in District of Columbia to $10.94 in Iowa.
- States publishing
- 11
- National median
- $8.69units vary by state
- Lowest
- $7.26District of Columbia
- Highest
- $10.94Iowa
What does Medicaid pay for J0890?
11 state Medicaid programs publish a fee-for-service rate for J0890. The national median is $8.69 (units differ between states). Iowa pays the most, $10.94, and District of Columbia the least, $7.26, a 1.5x spread.
J0890 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J0890?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $8.69. Iowa pays the most ($10.94) and District of Columbia the least ($7.26).
Which state pays the highest Medicaid rate for J0890?
Iowa, at $10.94, effective 2013-07-01.
Do managed-care plans pay the same rate for J0890?
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.