J1301 Medicaid reimbursement rate by state (2026)
Injection, edaravone, 1 mg. Medicaid pays a median of $6.46 for J1301 across 36 states, from $6.16 in Colorado to $21.68 in New Mexico.
- States publishing
- 36
- National median
- $6.46units vary by state
- Lowest
- $6.16Colorado
- Highest
- $21.68New Mexico
What does Medicaid pay for J1301?
36 state Medicaid programs publish a fee-for-service rate for J1301. The national median is $6.46 (units differ between states). New Mexico pays the most, $21.68, and Colorado the least, $6.16, a 3.5x spread.
J1301 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 J1301?
It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $6.46. New Mexico pays the most ($21.68) and Colorado the least ($6.16).
Which state pays the highest Medicaid rate for J1301?
New Mexico, at $21.68, effective 2025-04-01.
Do managed-care plans pay the same rate for J1301?
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.