J2403 Medicaid reimbursement rate by state (2026)
Chloroprocaine hcl ophthalmic, 3% gel, 1 mg. Medicaid pays a median of $0.72 for J2403 across 27 states, from $0.50 in Idaho to $22.67 in New Hampshire.
- States publishing
- 27
- National median
- $0.72units vary by state
- Lowest
- $0.50Idaho
- Highest
- $22.67New Hampshire
What does Medicaid pay for J2403?
27 state Medicaid programs publish a fee-for-service rate for J2403. The national median is $0.72 (units differ between states). New Hampshire pays the most, $22.67, and Idaho the least, $0.50, a 45.3x spread.
J2403 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 27 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for J2403?
It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $0.72. New Hampshire pays the most ($22.67) and Idaho the least ($0.50).
Which state pays the highest Medicaid rate for J2403?
New Hampshire, at $22.67, effective 2025-07-01.
Do managed-care plans pay the same rate for J2403?
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.