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J2310 Medicaid reimbursement rates by state

Injection, naloxone hydrochloride, per 1 mg. 9 state Medicaid programs publish a fee-for-service rate for J2310 at the physician psychologist level. Rates run from $3.02 in North Carolina to $15.88 in Iowa, with a median of $9.21.

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

States publishing
9
Median rate
$9.21units vary by state
Highest
$15.88Iowa
Medicare (non-facility)
—not on the physician fee schedule

J2310 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
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$15.88since 2023-02-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$15.68since 2025-07-01——Plans negotiate; applies out of network—PADL Fee Schedule - July 2025.xlsx
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$9.21since 2025-04-01——Plans negotiate; applies out of network—Medi Cal Physician Administered Drug Rat
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$9.21since 2025-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$9.21since 2025-04-01——Paid by the state, outside plans—MDHHS PIHP/CMHSP Physician Injectable Dr
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$9.21since 2025-04-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$8.70since 2025-01-01——Plans must pay at least this—Louisiana Medicaid Professional Services
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$8.70since 2025-04-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$3.02since 2022-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti

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 J2310?

It depends on the state. Of the 9 states with a published fee-for-service rate, the median is $9.21. Iowa pays the most ($15.88) and North Carolina the least ($3.02).

Which state pays the highest Medicaid rate for J2310?

Iowa, at $15.88, effective 2023-02-01.

Do managed-care plans pay the same rate for J2310?

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 J2310 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state