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J2277 Medicaid reimbursement rates by state

Injection, motixafortide, 0.25 mg. 20 state Medicaid programs publish a fee-for-service rate for J2277 at the physician psychologist level. Rates run from $23.55 in New Jersey to $32.87 in Michigan, with a median of $26.48.

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

States publishing
20
Median rate
$26.48units vary by state
Highest
$32.87Michigan
Medicare (non-facility)
—not on the physician fee schedule

J2277 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
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$32.87since 2026-01-01——Plans negotiate; applies out of network—MDHHS Practitioner and Medical Clinic Fe
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$30.94since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$26.48since 2026-02-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Physician Admi
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$26.48since 2026-01-01——Plans negotiate; applies out of network—PADL Fee Schedule - January 2026 - Revis
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$26.48since 2026-01-01——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$26.48since 2026-01-01——Plans negotiate; applies out of network—HCA Professional administered drugs fee
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$26.48since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$26.48since 2026-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$26.48since 2026-01-01——Not classified—Maryland Medicaid Professional Services
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$26.48since 2026-01-01——Not classified—SCDHHS Infusion Center Fee Schedule (sch
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$26.48since 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)$26.48since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$26.47since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$26.47since 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)$26.47since 2026-01-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$26.23since 2025-10-01unit—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)$25.76since 2026-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$25.61since 2026-01-01——Not classified—Q1/Q2/Q3/Q4 2026 PAD Fee Schedule
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$23.83since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$23.55since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 J2277?

It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $26.48. Michigan pays the most ($32.87) and New Jersey the least ($23.55).

Which state pays the highest Medicaid rate for J2277?

Michigan, at $32.87, effective 2026-01-01.

Do managed-care plans pay the same rate for J2277?

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

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