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J1750 Medicaid reimbursement rates by state

Injection, iron dextran, 50 mg. 25 state Medicaid programs publish a fee-for-service rate for J1750 at the physician psychologist level. Rates run from $12.25 in Arkansas to $22.57 in California, with a median of $18.99.

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

States publishing
25
Median rate
$18.99units vary by state
Highest
$22.57California
Medicare (non-facility)
—not on the physician fee schedule

J1750 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$22.57since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$19.01since 2026-10-01——Plans negotiate; applies out of network—PADL Fee Schedule -Published Copy - Octo
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$19.01since 2026-10-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$19.01since 2026-10-01——Plans negotiate; applies out of network—HCA Kidney centers fee schedule (kidneyc
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$19.01since 2026-10-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$19.01since 2026-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$18.99since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$18.99since 2026-08-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Ambulatory Inf
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$18.99since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$18.99since 2026-07-01——Plans negotiate; applies out of network—MDHHS Child and Adolescent Health Center
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$18.99since 2026-07-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$18.99since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$18.99since 2026-07-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$18.99since 2026-07-01——State sets the plan rate—SoonerCare Title XIX Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$18.38since 2026-10-01——Not classified—Q1/Q2/Q3/Q4 2026 PAD Fee Schedule
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$18.11since 2026-08-25——Not classified—Physician Drug Fee Schedule (REF-0130-Q)
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$18.08since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$18.08since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$18.08since 2026-01-01——Not classified—Maryland Medicaid Professional Services
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$17.76since 2024-04-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$17.62since 2025-10-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$17.15since 2023-01-01——Not classified—SCDHHS Infusion Center Fee Schedule (sch
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$17.12since 2024-03-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$13.41since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$12.25since 2025-06-04——Not classified—Arkansas Medicaid Certified Nurse-Midwif

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for J1750?

It depends on the state. Of the 25 states with a published fee-for-service rate, the median is $18.99. California pays the most ($22.57) and Arkansas the least ($12.25).

Which state pays the highest Medicaid rate for J1750?

California, at $22.57, effective 2026-10-01.

Do managed-care plans pay the same rate for J1750?

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 table shows the rule for each state, cited to the contract or statute.

Related Pharmacy codes

Track J1750 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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