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J3370 Medicaid reimbursement rates by state

Injection, vancomycin hcl, 500 mg. 8 state Medicaid programs publish a fee-for-service rate for J3370 at the physician psychologist level. Rates run from $1.86 in Louisiana to $4.18 in Iowa, with a median of $1.95.

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

States publishing
8
Median rate
$1.95units vary by state
Highest
$4.18Iowa
Medicare (non-facility)
—not on the physician fee schedule

J3370 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)$4.18since 2024-03-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$3.00since 2025-07-01——Plans negotiate; applies out of network—PADL Fee Schedule - July 2025.xlsx
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$3.00since 2022-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Midwives
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1.95since 2025-04-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Physicia
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$1.95since 2025-04-01——Plans negotiate; applies out of network—Medi Cal Physician Administered Drug Rat
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1.95since 2025-04-01——Plans negotiate; applies out of network—MDHHS Certified Nurse Midwife Fee Schedu
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1.95since 2025-07-01500 MG—Plans negotiate; applies out of network—KY Medicaid Renal Dialysis fee schedule
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1.86since 2025-01-01——Plans must pay at least this—Louisiana Medicaid Professional Services

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 J3370?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $1.95. Iowa pays the most ($4.18) and Louisiana the least ($1.86).

Which state pays the highest Medicaid rate for J3370?

Iowa, at $4.18, effective 2024-03-01.

Do managed-care plans pay the same rate for J3370?

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 J3370 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state