J1040 Medicaid reimbursement rates by state
Injection, methylprednisolone acetate, 80 mg. 5 state Medicaid programs publish a fee-for-service rate for J1040. Rates run from $9.80 in Wyoming to $9.80 in California, with a median of $9.80.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $9.80units vary by state
- Highest
- $9.80California
- Medicare (non-facility)
- —not on the physician fee schedule
J1040 rate in every state
One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service) | $9.80since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | Medi Cal Physician Administered Drug Rat |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $9.80since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | Copy of PADL- Appendix A - Published Cop |
| North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service) | $9.80since 2024-02-01 | — | — | Plans must pay at least this | — | NC Medicaid fee schedule 'Local Health D |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $9.80since 2024-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Child and Adolescent Health Center |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $9.80since 2024-01-01 | — | — | Not classified | — | Wyoming Medicaid Downloadable Fee Schedu |
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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.
Frequently asked questions
What does Medicaid pay for J1040?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $9.80. California pays the most ($9.80) and Wyoming the least ($9.80).
Which state pays the highest Medicaid rate for J1040?
California, at $9.80, effective 2024-01-01.
Do managed-care plans pay the same rate for J1040?
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 table shows the rule for each state, cited to the contract or statute.