J0893 Medicaid reimbursement rate by state (2026)
Injection, decitabine (sun pharma). Medicaid pays a median of $0.78 for J0893 across 35 states, from $0.67 in Idaho to $33.22 in North Carolina.
- States publishing
- 35
- National median
- $0.78units vary by state
- Lowest
- $0.67Idaho
- Highest
- $33.22North Carolina
What does Medicaid pay for J0893?
35 state Medicaid programs publish a fee-for-service rate for J0893. The national median is $0.78 (units differ between states). North Carolina pays the most, $33.22, and Idaho the least, $0.67, a 49.6x spread.
J0893 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.
Frequently asked questions
What does Medicaid pay for J0893?
It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $0.78. North Carolina pays the most ($33.22) and Idaho the least ($0.67).
Which state pays the highest Medicaid rate for J0893?
North Carolina, at $33.22, effective 2026-05-01.
Do managed-care plans pay the same rate for J0893?
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.