J2770 Medicaid reimbursement rates by state
Injection, quinupristin/dalfopristin, 500 mg (150/350). 18 state Medicaid programs publish a fee-for-service rate for J2770 at the physician psychologist level. Rates run from $4.26 in Maine to $500.20 in New Mexico, with a median of $468.99.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 18
- Median rate
- $468.99units vary by state
- Highest
- $500.20New Mexico
- Medicare (non-facility)
- —not on the physician fee schedule
J2770 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division) | $500.20since 2025-01-01 | — | — | Plans must pay at least this | — | New Mexico Medicaid Fee for Service HCPC |
| OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service) | $493.97since 2022-10-01 | — | — | Plans negotiate; applies out of network | — | ODM provider-administered pharmaceutical |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $493.97since 2023-01-01 | — | — | Plans negotiate; applies out of network | — | MDHHS Practitioner and Medical Clinic Fe |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $493.97since 2022-10-01 | — | — | 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) | $493.97since 2022-10-01 | — | — | Plans negotiate; applies out of network | — | ForwardHealth max fee schedule: Medical- |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $493.97since 2023-01-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $493.97since 2022-10-01 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $493.97since 2022-10-01 | — | — | Not classified | — | Montana Healthcare Programs fee schedule |
| IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $471.97since 2021-07-01 | — | — | 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) | $466.01since 2026-08-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Physicia |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $466.01since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | HCA Professional administered drugs fee |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $458.55since 2023-07-01 | — | — | Not classified | — | SCDHHS Infusion Center Fee Schedule (sch |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $428.19since 2026-01-01 | — | — | Not classified | — | Maryland Medicaid Professional Services |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $426.79since 2025-09-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service) | $143.36since 2016-10-01 | unit | — | Plans must pay at least this | — | IHCP Professional Fee Schedule (Last Upd |
| New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service) | $137.00since 2025-01-01 | — | — | Not classified | — | NJMMIS Procedure Master Listing CPTHCPCS |
| ArkansasPhysician or licensed psychologist (incl. BCBA-D) · Arkansas Medicaid (fee-for-service) | $102.52since 2025-06-13 | — | — | Not classified | — | Arkansas Medicaid Physician / CRNA / Fam |
| MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service) | $4.26since 2025-01-01 | — | — | Not classified | — | MaineCare Fee Schedule (MaineCare UCR, H |
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 J2770?
It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $468.99. New Mexico pays the most ($500.20) and Maine the least ($4.26).
Which state pays the highest Medicaid rate for J2770?
New Mexico, at $500.20, effective 2025-01-01.
Do managed-care plans pay the same rate for J2770?
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
90656Vaccines and immune globulins · 37 states90658Vaccines and immune globulins · 37 states90714Vaccines and immune globulins · 37 states90653Physician-administered drugs (J-codes) · 36 states90662Physician-administered drugs (J-codes) · 36 states90673Physician-administered drugs (J-codes) · 36 states90739Physician-administered drugs (J-codes) · 36 states90651Vaccines and immune globulins · 35 states90620Vaccines and immune globulins · 35 states90621Vaccines and immune globulins · 35 states90740Vaccines and immune globulins · 35 statesQ4101Apligraf, per square centimeter (add-on · 34 states
Track J2770 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.