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Billing code J1741 · Pharmacy

J1741 Medicaid reimbursement rate by state (2026)

Injection, ibuprofen, 100 mg. Medicaid pays a median of $3.25 for J1741 across 31 states, from $1.56 in New Jersey to $3.66 in Utah.

Data as of Oct 5, 202631 statesEvery rate links to its official source

States publishing
31
National median
$3.25units vary by state
Lowest
$1.56New Jersey
Highest
$3.66Utah
Answer

What does Medicaid pay for J1741?

31 state Medicaid programs publish a fee-for-service rate for J1741. The national median is $3.25 (units differ between states). Utah pays the most, $3.66, and New Jersey the least, $1.56, a 2.3x spread.

State ranking

J1741 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2026-10-01$3.66——Plans negotiate; applies out of network—
2South Carolina Source · since 2026-07-01$3.37——Plans negotiate; applies out of network—
3Nevada Source · since 2026-09-01$3.37——Plans must pay at least this—
15Oklahoma Source · since 2026-07-01$3.25——State sets the plan rate—
16Rhode Island Source · since 2026-07-01$3.25——Plans negotiate; applies out of network—
17New Hampshire Source · since 2026-07-01$3.20——Plans negotiate; applies out of network—
30Idaho Source · since 2026-07-01$2.75——Not classified—
31New Jersey Source · since 2025-01-01$1.56——Not classified—
See all 31 states for J1741 — start free

23 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.

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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 J1741 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for J1741?

It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $3.25. Utah pays the most ($3.66) and New Jersey the least ($1.56).

Which state pays the highest Medicaid rate for J1741?

Utah, at $3.66, effective 2026-10-01.

Do managed-care plans pay the same rate for J1741?

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.