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J1289 Medicaid reimbursement rate by state (2026)

Injection, narsoplimab-wuug, 1 mg. Medicaid pays a median of $103.46 for J1289 across 20 states, from $89.52 in Arizona to $113.40 in Arkansas.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
20
National median
$103.46units vary by state
Lowest
$89.52Arizona
Highest
$113.40Arkansas

What does Medicaid pay for J1289?

20 state Medicaid programs publish a fee-for-service rate for J1289 at the physician psychologist level. The national median is $103.46 (units differ between states). Arkansas pays the most, $113.40, and Arizona the least, $89.52, a 1.3x spread.

J1289 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 20 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2026-08-10$113.40——Not classified—
2Nebraska Source · since 2026-07-01$106.23——Plans negotiate; applies out of network—
3West Virginia Source · since 2026-10-01$105.441 MG—Plans negotiate; applies out of network—
10Indiana Source · since 2026-07-01$104.45unit—Plans must pay at least this—
11Mississippi Source · since 2026-07-01$102.46——Plans must pay at least this—
12Colorado Source · since 2026-10-01$101.96——Not classified—
19Illinois Source · since 2026-07-01$92.53——Plans negotiate; applies out of network—
20Arizona Source · since 2026-08-01$89.52——Plans negotiate; applies out of network—
See all 20 states for J1289 — start free

12 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.

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 J1289 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for J1289?

It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $103.46. Arkansas pays the most ($113.40) and Arizona the least ($89.52).

Which state pays the highest Medicaid rate for J1289?

Arkansas, at $113.40, effective 2026-08-10.

Do managed-care plans pay the same rate for J1289?

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.