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J2320 Medicaid reimbursement rates by state

Injection, nandrolone decanoate, up to 50 mg. 14 state Medicaid programs publish a fee-for-service rate for J2320 at the physician psychologist level. Rates run from $3.58 in Arkansas to $7.86 in Colorado, with a median of $3.77.

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

States publishing
14
Median rate
$3.77units vary by state
Highest
$7.86Colorado
Medicare (non-facility)
—not on the physician fee schedule

J2320 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
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$7.86since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$6.15since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$4.77since 2020-03-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Midwives
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$4.02since 2010-02-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$3.98since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$3.86since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$3.79since 2024-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$3.75since 2008-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$3.75since 2021-01-01——Plans negotiate; applies out of network—HCA Kidney centers fee schedule (kidneyc
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$3.75since 2008-10-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$3.75since 2008-10-01——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)$3.75since 2026-01-01——Not classified—Maryland Medicaid Professional Services
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$3.63since 2008-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$3.58since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee

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 J2320?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $3.77. Colorado pays the most ($7.86) and Arkansas the least ($3.58).

Which state pays the highest Medicaid rate for J2320?

Colorado, at $7.86, effective 2026-07-01.

Do managed-care plans pay the same rate for J2320?

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 J2320 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state