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Billing code J2359 · Pharmacy

J2359 Medicaid reimbursement rate by state (2026)

Injection, olanzapine, 0.5 mg. Medicaid pays a median of $0.69 for J2359 across 36 states, from $0.59 in Colorado to $5.15 in California.

Data as of Oct 5, 202636 statesEvery rate links to its official source

States publishing
36
National median
$0.69units vary by state
Lowest
$0.59Colorado
Highest
$5.15California
Answer

What does Medicaid pay for J2359?

36 state Medicaid programs publish a fee-for-service rate for J2359. The national median is $0.69 (units differ between states). California pays the most, $5.15, and Colorado the least, $0.59, a 8.7x spread.

State ranking

J2359 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1California Source · since 2026-07-01$5.15——Plans negotiate; applies out of network—
2New Jersey Source · since 2025-01-01$1.90——Not classified—
3Iowa Source · since 2024-03-01$1.64——Plans must pay at least this—
18Arizona Source · since 2026-08-01$0.69——Plans negotiate; applies out of network—
19North Carolina Source · since 2026-08-01$0.69——Plans negotiate; applies out of network—
20Nebraska Source · since 2026-07-01$0.69——Plans negotiate; applies out of network—
35West Virginia Source · since 2026-10-01$0.6150.5 MG—Plans negotiate; applies out of network—
36Colorado Source · since 2026-10-01$0.59——Not classified—
See all 36 states for J2359 — start free

28 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.

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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 J2359 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for J2359?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $0.69. California pays the most ($5.15) and Colorado the least ($0.59).

Which state pays the highest Medicaid rate for J2359?

California, at $5.15, effective 2026-07-01.

Do managed-care plans pay the same rate for J2359?

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.