J1449 Medicaid reimbursement rate by state (2026)
Injection, eflapegrastim-xnst, 0.1 mg. Medicaid pays a median of $37.42 for J1449 across 40 states, from $19.83 in Vermont to $43.02 in California.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 40
- National median
- $37.42units vary by state
- Lowest
- $19.83Vermont
- Highest
- $43.02California
What does Medicaid pay for J1449?
40 state Medicaid programs publish a fee-for-service rate for J1449 at the physician psychologist level. The national median is $37.42 (units differ between states). California pays the most, $43.02, and Vermont the least, $19.83, a 2.2x spread.
J1449 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 40 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J1449?
It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $37.42. California pays the most ($43.02) and Vermont the least ($19.83).
Which state pays the highest Medicaid rate for J1449?
California, at $43.02, effective 2026-07-01.
Do managed-care plans pay the same rate for J1449?
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.