J1642 Medicaid reimbursement rate by state (2026)
Injection, heparin sodium, (heparin lock flush). Medicaid pays a median of $0.02 for J1642 across 31 states, from $0.018 in West Virginia to $4.48 in California.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 31
- National median
- $0.02units vary by state
- Lowest
- $0.018West Virginia
- Highest
- $4.48California
What does Medicaid pay for J1642?
31 state Medicaid programs publish a fee-for-service rate for J1642 at the physician psychologist level. The national median is $0.02 (units differ between states). California pays the most, $4.48, and West Virginia the least, $0.018 per 10 UNITS, a 248.9x spread.
J1642 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 31 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J1642?
It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $0.02. California pays the most ($4.48) and West Virginia the least ($0.018 per 10 UNITS).
Which state pays the highest Medicaid rate for J1642?
California, at $4.48, effective 2026-10-01.
Do managed-care plans pay the same rate for J1642?
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.