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J3360 Medicaid reimbursement rates by state

Injection, diazepam, up to 5 mg. 27 state Medicaid programs publish a fee-for-service rate for J3360 at the physician psychologist level. Rates run from $0.75 in North Carolina to $12.47 in Iowa, with a median of $6.85.

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

States publishing
27
Median rate
$6.85units vary by state
Highest
$12.47Iowa
Medicare (non-facility)
—not on the physician fee schedule

J3360 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
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$12.47since 2021-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$11.31since 2026-07-01——Plans negotiate; applies out of network—Medi-Cal Physician-Administered Drug Rat
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$8.51since 2026-08-25——Not classified—Physician Drug Fee Schedule (REF-0130-Q)
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$8.51since 2026-07-015 MG—Plans negotiate; applies out of network—KY Medicaid Renal Dialysis fee schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$8.28since 2026-04-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$7.11since 2026-07-01——Not classified—SCDHHS Infusion Center Fee Schedule (sch
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$6.85since 2026-08-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$6.85since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$6.85since 2026-07-01——Paid by the state, outside plans—MDHHS PIHP/CMHSP Physician Injectable Dr
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$6.85since 2026-07-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$6.85since 2026-07-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$6.85since 2026-07-01——Plans must pay at least this—Louisiana Medicaid Professional Services
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$6.85since 2026-07-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$6.85since 2026-07-01——State sets the plan rate—SoonerCare Title XIX Fee Schedule
TexasPhysician or licensed psychologist (incl. BCBA-D) · Texas Medicaid (fee-for-service, TMHP)$6.69since 2026-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Physi
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$6.69since 2026-01-01——Not classified—Maryland Medicaid Professional Services
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$6.69since 2026-01-01——Not classified—CMAP fee schedule: Physician Office and
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$6.15since 2025-06-13——Not classified—Arkansas Medicaid Nurse Practitioner Fee
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$5.07since 2026-10-01——Plans negotiate; applies out of network—PADL Fee Schedule -Published Copy - Octo
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$5.07since 2026-10-01——Plans negotiate; applies out of network—ODM provider-administered pharmaceutical
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$5.07since 2026-10-01——Plans negotiate; applies out of network—HCA Kidney centers fee schedule (kidneyc
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$5.07since 2026-10-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Medical-
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$4.90since 2026-10-01——Not classified—Q1/Q2/Q3/Q4 2026 PAD Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$4.19since 2020-04-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$1.27since 2026-10-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1.25since 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)$0.75since 2022-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Midwives

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 J3360?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $6.85. Iowa pays the most ($12.47) and North Carolina the least ($0.75).

Which state pays the highest Medicaid rate for J3360?

Iowa, at $12.47, effective 2021-07-01.

Do managed-care plans pay the same rate for J3360?

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

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