J1575 Medicaid reimbursement rate by state (2026)
Injection, immune globulin/hyaluronidase, (hyqvia). Medicaid pays a median of $18.35 for J1575 across 40 states, from $10.83 in Arkansas to $26.38 in Indiana.
- States publishing
- 40
- National median
- $18.35units vary by state
- Lowest
- $10.83Arkansas
- Highest
- $26.38Indiana
What does Medicaid pay for J1575?
40 state Medicaid programs publish a fee-for-service rate for J1575. The national median is $18.35 (units differ between states). Indiana pays the most, $26.38 per unit, and Arkansas the least, $10.83, a 2.4x spread.
J1575 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 J1575?
It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $18.35. Indiana pays the most ($26.38 per unit) and Arkansas the least ($10.83).
Which state pays the highest Medicaid rate for J1575?
Indiana, at $26.38 per unit, effective 2026-04-01.
Do managed-care plans pay the same rate for J1575?
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.