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J2311 Medicaid reimbursement rate by state (2026)

Injection, naloxone hydrochloride (zimhi), 1 mg. Medicaid pays a median of $1.50 for J2311 across 6 states, from $1.50 in Rhode Island to $12.66 in Iowa.

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

States publishing
6
National median
$1.50units vary by state
Lowest
$1.50Rhode Island
Highest
$12.66Iowa

What does Medicaid pay for J2311?

6 state Medicaid programs publish a fee-for-service rate for J2311 at the physician psychologist level. The national median is $1.50 (units differ between states). Iowa pays the most, $12.66, and Rhode Island the least, $1.50, a 8.4x spread.

J2311 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Iowa Source · since 2023-01-01$12.66——Plans must pay at least this—
2California Source · since 2024-10-01$1.50——Plans negotiate; applies out of network—
3Arizona Source · since 2025-04-01$1.50——Plans negotiate; applies out of network—
6Rhode Island Source · since 2024-10-01$1.50——Plans negotiate; applies out of network—
See all 6 states for J2311 — start free

2 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.

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 J2311 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for J2311?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $1.50. Iowa pays the most ($12.66) and Rhode Island the least ($1.50).

Which state pays the highest Medicaid rate for J2311?

Iowa, at $12.66, effective 2023-01-01.

Do managed-care plans pay the same rate for J2311?

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.