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Billing code J3471 · Pharmacy

J3471 Medicaid reimbursement rate by state (2026)

Injection, hyaluronidase, ovine, preservative free. Medicaid pays a median of $0.50 for J3471 across 26 states, from $0.12 in New Jersey to $0.56 in Utah.

Data as of Oct 5, 202626 statesEvery rate links to its official source

States publishing
26
National median
$0.50units vary by state
Lowest
$0.12New Jersey
Highest
$0.56Utah
Answer

What does Medicaid pay for J3471?

26 state Medicaid programs publish a fee-for-service rate for J3471. The national median is $0.50 (units differ between states). Utah pays the most, $0.56, and New Jersey the least, $0.12, a 4.7x spread.

State ranking

J3471 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 26 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2023-10-01$0.56——Plans negotiate; applies out of network—
2Indiana Source · since 2023-04-01$0.53unit—Plans must pay at least this—
3Iowa Source · since 2024-03-01$0.51——Plans must pay at least this—
13Oregon Source · since 2024-01-01$0.50——Plans negotiate; applies out of network—
14Oklahoma Source · since 2024-01-01$0.50——State sets the plan rate—
15Kansas Source · since 2023-10-01$0.50——Plans must pay at least this—
25Idaho Source · since 2025-09-01$0.43——Not classified—
26New Jersey Source · since 2025-01-01$0.12——Not classified—
See all 26 states for J3471 — start free

18 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 J3471 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 J3471?

It depends on the state. Of the 26 states with a published fee-for-service rate, the median is $0.50. Utah pays the most ($0.56) and New Jersey the least ($0.12).

Which state pays the highest Medicaid rate for J3471?

Utah, at $0.56, effective 2023-10-01.

Do managed-care plans pay the same rate for J3471?

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.