J1580 Medicaid reimbursement rate by state (2026)
Injection, garamycin, gentamicin, up to 80 mg. Medicaid pays a median of $1.93 for J1580 across 41 states, from $0.99 in North Carolina to $6.39 in California.
- States publishing
- 41
- National median
- $1.93units vary by state
- Lowest
- $0.99North Carolina
- Highest
- $6.39California
What does Medicaid pay for J1580?
41 state Medicaid programs publish a fee-for-service rate for J1580. The national median is $1.93 (units differ between states). California pays the most, $6.39, and North Carolina the least, $0.99, a 6.5x spread.
J1580 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J1580?
It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $1.93. California pays the most ($6.39) and North Carolina the least ($0.99).
Which state pays the highest Medicaid rate for J1580?
California, at $6.39, effective 2026-10-01.
Do managed-care plans pay the same rate for J1580?
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.