Skip to content

J2315 Medicaid reimbursement rate by state (2026)

Injection, naltrexone, depot form, 1 mg. Medicaid pays a median of $4.53 for J2315 across 39 states, from $3.25 in Arkansas to $1,300.00 in Alabama.

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

States publishing
39
National median
$4.53units vary by state
Lowest
$3.25Arkansas
Highest
$1,300.00Alabama

What does Medicaid pay for J2315?

39 state Medicaid programs publish a fee-for-service rate for J2315 at the physician psychologist level. The national median is $4.53 (units differ between states). Alabama pays the most, $1,300.00 per encounter, and Arkansas the least, $3.25, a 400.0x spread.

J2315 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alabama Source · since 2023-10-01$1,300.00encounter—Not classified—
2California Source · since 2026-10-01$8.71——Plans negotiate; applies out of network—
3Utah Source · since 2026-10-01$5.08——Plans negotiate; applies out of network—
19Nevada Source · since 2026-09-01$4.53——Plans must pay at least this—
20Maine Source · since 2026-07-01$4.53——Not classified—
21Rhode Island Source · since 2026-07-01$4.53——Plans negotiate; applies out of network—
38Idaho Source · since 2026-07-01$3.67——Not classified—
39Arkansas Source · since 2025-06-13$3.25——Not classified—
See all 39 states for J2315 — start free

31 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 J2315 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 J2315?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $4.53. Alabama pays the most ($1,300.00 per encounter) and Arkansas the least ($3.25).

Which state pays the highest Medicaid rate for J2315?

Alabama, at $1,300.00 per encounter, effective 2023-10-01.

Do managed-care plans pay the same rate for J2315?

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.