J1380 Medicaid reimbursement rate by state (2026)
Injection, estradiol valerate, up to 10 mg. Medicaid pays a median of $7.70 for J1380 across 37 states, from $2.08 in Arkansas to $24.69 in Iowa.
- States publishing
- 37
- National median
- $7.70units vary by state
- Lowest
- $2.08Arkansas
- Highest
- $24.69Iowa
What does Medicaid pay for J1380?
37 state Medicaid programs publish a fee-for-service rate for J1380. The national median is $7.70 (units differ between states). Iowa pays the most, $24.69, and Arkansas the least, $2.08, a 11.9x spread.
J1380 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 37 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J1380?
It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $7.70. Iowa pays the most ($24.69) and Arkansas the least ($2.08).
Which state pays the highest Medicaid rate for J1380?
Iowa, at $24.69, effective 2024-03-01.
Do managed-care plans pay the same rate for J1380?
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.