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J1562 Medicaid reimbursement rate by state (2026)

Injection, immune globulin (vivaglobin), 100 mg. Medicaid pays a median of $7.69 for J1562 across 5 states, from $6.89 in Arizona to $11.95 in California.

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

States publishing
5
National median
$7.69units vary by state
Lowest
$6.89Arizona
Highest
$11.95California

What does Medicaid pay for J1562?

5 state Medicaid programs publish a fee-for-service rate for J1562. The national median is $7.69 (units differ between states). California pays the most, $11.95, and Arizona the least, $6.89, a 1.7x spread.

J1562 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2024-07-01$11.95——Plans negotiate; applies out of network—
2Massachusetts Source · since 2026-03-01$9.69——Plans negotiate; applies out of network—
3New Mexico Source · since 2025-01-01$7.69——Plans must pay at least this—
See all 5 states for J1562 — start free

2 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 J1562 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 J1562?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $7.69. California pays the most ($11.95) and Arizona the least ($6.89).

Which state pays the highest Medicaid rate for J1562?

California, at $11.95, effective 2024-07-01.

Do managed-care plans pay the same rate for J1562?

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.