J0896 Medicaid reimbursement rate by state (2026)
Injection, luspatercept-aamt, 0.25 mg. Medicaid pays a median of $43.13 for J0896 across 36 states, from $34.07 in New Jersey to $48.70 in Utah.
- States publishing
- 36
- National median
- $43.13units vary by state
- Lowest
- $34.07New Jersey
- Highest
- $48.70Utah
What does Medicaid pay for J0896?
36 state Medicaid programs publish a fee-for-service rate for J0896. The national median is $43.13 (units differ between states). Utah pays the most, $48.70, and New Jersey the least, $34.07, a 1.4x spread.
J0896 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J0896?
It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $43.13. Utah pays the most ($48.70) and New Jersey the least ($34.07).
Which state pays the highest Medicaid rate for J0896?
Utah, at $48.70, effective 2026-10-01.
Do managed-care plans pay the same rate for J0896?
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.